Republic of the Philippines

Department of Education
Region VI-Western Visayas
Division of Roxas City
Roxas City District III-Cluster VI
DONA EMILIANA A. ALBA MEMORIAL SCHOOL
Pinaypayan, Lanot, Roxas City

May 11, 2020

FELICIANO C. BUENAFE, JR., CESO VI

Assistant Schools Division Superintendent
Officer-In-Charge
Office of the Schools Division Superintendent
(Through Channels)

Sir:

I have the honor to apply for reinstatement in the service as Teacher II effective April 25,
2020. I was on Maternity leave from January 11, 2020 to April 24, 2020.

Attached herewith is/are the following pertinent papers.

1. Approved Form 6

2. CS Form 211

3. Medical Certificate

Very truly yours,

CHONA D. PAJARILLO
Emp. No. 4556682
Contents Noted:

MANN F. LEE
Head Teacher III

Approval Recommended:

ARIEL B. ANDUTAN
Administrative Officer V

APPROVED:

FELICIANO C. BUENAFE, JR., CESO VI

Assistant Schools Division Superintendent
Officer-In-Charge
Office of the Schools Division Superintendent