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Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO

September 14, 2022

MA. LUZ M. DE LOS REYES


Schools Division Superintendent
Department of Education
Luna St., La Paz, Iloilo City

Madam:

I hereby apply for a retirement/separation from the Department of Education, Schools


Division of Iloilo, effective January 1, 2023 and declare to the best of my knowledge the following:

Family Name: First Name: Middle Name: Employee Number:


TRAVIÑA EVAN TAMAYO 4617877

Date of Birth: Age upon Retirement:


6/27/1960 62 years old
Complete Mailing Address: Place of Birth:
Tamayo St., Brgy. 1, Tigbauan,Iloilo Tigbauan,Iloilo
Place of Assignment: Position Title:
District of Tigbauan/Tigbauan Central Teacher III
Elementary School

I affirm that the information indicated above have been accomplished by me and are true
and correct.

Very truly yours,

EVAN T. TRAVIÑA
Teacher III

Approved by:

MA. LUZ M. DE LOS REYES


Schools Division Superintendent

Address: Luna St., La Paz, Iloilo City 5000


Tel./Fax No. (033) 320-1402 | (033) 320-0719 | (033) 320-0707 | (033) 327-2252
Website: http://www.depediloilo.ph | e-mail: iloilo@deped.gov.ph

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