Department of Education

Region XII
Division of Cotabato
Mlang Central District
DUNGOAN ELEMENTARY SCHOOL
Dungoan

The Principal
___________________________
___________________________

Sir/Madame:

I have the honor to request a copy of Form 137 of the following pupil/s who is/are temporarily enrolled in this
school upon presentation of the form 138 in the grade/s indicated here under:

NAME OF PUPIL/S IN OUR SCHOOL IN YOUR SCHOOL

LEARNER’S
GRADE DATE GRADE SCHOOL REFERENCE
ENTERED YEAR NUMBER(LRN)

1st Request_________________________________

2nd Request_________________________________

3rd Request_________________________________
(Through Channels)

Very truly yours,

BAICEL M. TAYONG
Teacher In-Charge

_____________________________
Teacher Requesting

Note: Please return this request with Form 137