DEPARTMENT OF EDUCATION
Region X- Northern Mindanao
DIVISION OF MALAYBALAY CITY
Corner Don Carlos and Guingona Sts., City of Malaybalay
Telefax # 088-813-2894 or 221-4597, E-mail add: dpdmlyblycity@yahoo.com
Website: http://depedmalaybalay.net
____________________________
Date
APPLICATION FOR PERMISSION TO STUDY
The Schools Division Superintendent
Division of Malaybalay City
Malaybalay City
Sir:
I have the honor to request permission to study under_______________________________
Information about me are as follows:
Place of Employment: School: _______________________________________________________
Town: __________________________________________ Province:__________________
Educational Qualification :________________________________ Salary :__________________
Institution in which to enroll : _______________________________________________________
Academic Year: _________________________________ Semester/ Summer: ________________
Subject to be taken are: Leading to the Degree of
DAYS TIME SUBJECTS NO. OF UNITS
It is further informed that the undersigned has read General Circular No. 17,s. 1960, permitting
teachers to take __________________________ subjects or equivalent to _____________ units and
Circular No. 7,s.1975.
Very truly yours,
_____________________________
APPROVED:
REBONFAMIL R. BAGUIO
Schools Division Superintendent