Permit To Study 2020

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Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
Division of Bukidnon
(NAME OF SCHOOL AND DISTRICT)

________________
Date

REQUEST FOR PERMIT TO STUDY

Name of Teacher: __________________________ School: ______________________


Position: __________________________________
College/University to enroll: ___________________
School Year: ______________________________ Semester: ____________________
M.A./Ph.D. Program: ________________________

SUBJECTS UNITS NO. OF HOURS TIME DAY


__________________ _________ _____________ __________ _________
__________________ _________ _____________ __________ _________
__________________ _________ _____________ __________ _________

I hereby certify that my graduate studies cannot interfere with my official duties, and that
I can still work for eight (8) hours as required by Civil Service Law.

__________________________
Name and Signature of Teacher

Recommending Approval:

__________________________________
Name and Signature of the Head of School

APPROVED,

By Authority of the Schools Division Superintendent:

LANILA M. PALAPAR
Assistant Schools Division Superintendent
________________

Address: Fortich St., Sumpong, Malaybalay City


Telephone No: (088) 813-3634
Email Address: [email protected]
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
Division of Bukidnon
(NAME OF SCHOOL AND DISTRICT)

Date

REQUEST FOR PERMIT TO STUDY

Name of Teacher: __________________________ School: ______________________


Position: __________________________________
College/University to enroll: ___________________
School Year: ______________________________ Semester: ____________________
M.A./Ph.D. Program: ________________________

SUBJECTS UNITS NO. OF HOURS TIME DAY


__________________ _________ _____________ __________ _________
__________________ _________ _____________ __________ _________
__________________ _________ _____________ __________ _________

I hereby certify that my graduate studies cannot interfere with my official duties, and that
I can still work for eight (8) hours as required by Civil Service Law.

__________________________
Name and Signature of Teacher

Recommending Approval:

__________________________________
Name and Signature of the Head of School

APPROVED,

By Authority of the Schools Division Superintendent:

AUDIE S. BORRES
Assistant Schools Division Superintendent

Address: Fortich St., Sumpong, Malaybalay City


Telephone No: (088) 813-3634
Email Address: [email protected]

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