Republic of the Philippines

Department of Education
Region VI – Western Visayas
Schools Division of Iloilo
NICOMEDES R. TUBAR SR. NATIONAL HIGH SCHOOL

August 12, 2022

MA. LUZ M. DE LOS REYES

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

Thru Channels:

Dear Ma’am:

I have the honor to request permission to study, subject to the condition and requirements contained in the
General Circular No. 17, s. 1960 Circular No. 1, 1963 and other regulations on outside study of teachers.

In this connection, I am submitting the following information.

Name: _DAFFY JELL Q. ECHECHE___________________________ Position: _Teacher III___________

School/Office where assigned: _Nicomedes R. Tubar Sr. National High School____________________
District: _San Dionisio_______________________________Division: Schools Division of Iloilo_______
Address: ___Pase, San Dionsisio, Iloilo_____________________________________________________
Highest Educational Qualification: _Master of Arts in Education Major in Mathematics (CAR)_______
Experience: No. of Years: _8 Years & 2 Months____ Type of Work: __Teaching__________________
Efficiency ratings for the last two years (1) _____Outstanding______ (2) ________Outstanding_______
Distance of Station from the College/School: ___________________________________________________
Degree to be Pursued: _Master of Arts in Education Major in Mathematics______________________
College to take the Course: _Northern Iloilo Polytechnic State College Estancia Main Campus _____

I. Subject already taken:

Name of Subjects Rating Credit School Term School where Taken
when Taken
Concepts of Geometry 1.4 3 Summer 2011 Northern Iloilo Polytechnic State
College Estancia Main Campus
Methods of Teaching Mathematics 1.4 3 First Sem Northern Iloilo Polytechnic State
2011-2012 College Estancia Main Campus
Integrated Algebra and 1.3 3 First Sem Northern Iloilo Polytechnic State
Trigonometry 2011-2012 College Estancia Main Campus
Statistics 1.3 3 First Sem Northern Iloilo Polytechnic State
2011-2012 College Estancia Main Campus
Methods of Teaching Mathematics 1.2 3 First Sem Northern Iloilo Polytechnic State
Part II 2011-2012 College Estancia Main Campus
Selected Topics in Mathematics 1.2 3 First Sem Northern Iloilo Polytechnic State
2011-2012 College Estancia Main Campus
Psychological Foundations of 1.4 3 Second Sem Northern Iloilo Polytechnic State
Education 2011-2012 College Estancia Main Campus
Methods of Research 1.6 3 Second Sem Northern Iloilo Polytechnic State
2011-2012 College Estancia Main Campus
Mathematical Analysis 1.5 3 Second Sem Northern Iloilo Polytechnic State
2011-2012 College Estancia Main Campus
Elementary Set Theory 1.7 3 Second Sem Northern Iloilo Polytechnic State
2011-2012 College Estancia Main Campus
Comprehensive Examination First Semester Northern Iloilo Polytechnic State
2012-2013 College Estancia Main Campus

II. Subjects being taken ___1____ Semester/Summer_1st__ SY_2022-2023___

Address: Pase, San Dionisio, Iloilo

Tel. No.: 09686488263/09453968229
Email Address: 302541@deped.gov.ph
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
Schools Division of Iloilo
NICOMEDES R. TUBAR SR. NATIONAL HIGH SCHOOL

Name of Subject Units Time

Thesis Writing 3

Total: 3 units__

III. Subjects to be taken

Course No. Descriptive Title Units Course No. Descriptive Title Units

Total number of Units to be taken: ___________

I expect to graduate the degree in school year _2022-2023______

Very truly yours,

DAFFY JELL Q. ECHECHE

Certified Correct:

________________________
Registrar of College/University

Recommending Approval:

ISAGANI M. JALANDONI
Principal IV
Nicomedes R. Tubar Sr. National High School

Approved:

MA. LUZ M. DE LOS REYES

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

Address: Pase, San Dionisio, Iloilo

Tel. No.: 09686488263/09453968229
Email Address: 302541@deped.gov.ph