Study Permit 2
Study Permit 2
Study Permit 2
DEPARTMEilT OF EDUCATIOT{
Region X-No[hern Mindanao
DIVISION OF CAMIGUIN
Mambajao
I herby certify that I have carefully read the information on the next page of this form, all the provisions
of which I arn bound to cbserve very stridly, I understand that the regulations cn the outside study of teachers
are intended to primarily safeguard the health of the teachers as well as of course to maintain their efficiency in
the service. I also understand that if in the opinion of the Division Superintendent of School ihis study adversely
affect my efficiency as a teacher this permission to study shall be revoked.
(Signature of Applicant)
Date Submitted:
The undersigned shall require strict compliance by the applicant with all the existing rules and regulations
regarding permission to study and should hold responsible for any undue delay in forwarding the aoplicant to
the office doing satisfactory work with an efficienry rating of "ABOVE AVERAGE" or higher. The applicant will be
required by me to submit through office, ta the Division Superintendent a certified copy of the report rating
obtained in the course which should be attended to hislher outside study not earlier than thifi minutes after
the afternoon session in the public sehool.
Date Submitted:
School Principal
APPROVED:
This permit expires on
Date:
Permit No.
CERTIFICATION
TO WHOM iT MAY CONCERN:
DEAN REGISTRAR
NOTE:
1_ Weekdays classes in a semestral terms should not be earlier than 6:00 p-m-
2" Unless superseded by the DECS Every term, a 3 unit leeture subject should be taken as follows: