Republic of the Philippines
Department of Education
REGION IV-A
SCHOOLS DIVISION OFFICE OF CAVITE PROVINCE
APPLICATION FOR PERMISSION TO STUDY
REGIE D. PUGAY
Name of Applicant: ____________________________________________ Position: TEACHER III
Civil Service Eligibility: LET Civil Status: MARRIED
Name of School where employed: ESCUELA SECONDARIA SENOR DE SALINAS Barrio: BAGBAG I
Municipality: ROSARIO Perm/Prov’l: CAVITE
Distance in Kms between official station and college where enrolled: ______________________
DE LA SALLE UNIVERSITY - DASMARINAS
(Name and Location of college where applicant wished to enroll)
Course applied for: DOCTOR OF PHILOSOPHY MAJOR IN EDUCATIONA MANAGEMENT
Academic Year: 2023-2024 Qtr./Sem. Summer: 2ND SEMESTER
(1st, 2nd, 3rd, 4th)
Course to be taken this term and the schedule:
COURSE DAYS OF THE WEEK HOURS OF THE WEEK
Ph.D major in Educational Saturday 8 hours
Management _________________ __________________
Credits or units towards - - - BSE MA Ed. D./Ph.D.
Total number of units previously ______ ______ 9
Number of units to be earned this Qtr./Sem./Summer 9
I herby certify that I have carefully read the information on the next page of this form, all the provisions of which
I am bound to observe very strictly, I understand that the regulations on 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 this study adversely affect my efficiency as a
teacher this permission to study shall be revoked.
_______________________________
(Signature of Applicant)
Date Submitted: FEBRUARY 20, 2024
APPROVAL RECOMMENDED:
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 applicant to the office
doing satisfactory work with an efficiency rating of “ABOVE AVERAGE” or higher. The applicant will be required by me to
submit through office, to the Division Superintendent a certified copy of the report rating obtained in the course which
should be attended to his/her outside study not earlier than thirty minutes after the afternoon session in the public
school.
Date Submitted: _______________________ BEVERLY B. GLORIA
_____________________________
School Principal IV
APPROVED:
This permit expires on ______________________
Date: __________________
Permit No. ______________
ROSEMARIE D. TORRES, CESO IV
________________________________
Schools Division Superintendent
Cavite Capitol Compound, Brgy. Luciano, Trece Martires City, Cavite
(046) 419-0014, 419-1286, 412-0349, 419-1739, 412-0849
www.depedcavite.com.ph
deped.cavite@deped.gov.ph
“Serbisyong Pang-Edukasyong Tapat at Sapat para sa Batang KABITENYO”
APPLICATION FOR PERMISSION:
INSTRUCTIONS
1. Application for permission to study in five (5) copies must reach the office not later than two (2) months before the
start of the actual classes. THE TEACHERS JUST FILE REQUEST BEFORE ENROLLING FOR THE FIRST TIME IN ANY
SCHOOL, COLLEGE or UNIVERSITY.
2. The teacher applicant must be doing satisfactory work with an efficient rating of “ABOVE AVERAGE” or higher.
3. The permission is given until the applicant complete the curriculum towards a degree. He does not need to file a
request for permission every semester.
4. A certificate from the head of the school or college where the teacher is enrolled and the subject to pursued should
be attached with the application.
5. Teachers who are about to finish course, or who have started a course as well as the subject already completed and
those still to be taken all to be certified by the Registrar of the private school concerned.
6. After each semester every teacher granted permission to study should submit to the Superintendent’s Office, through
channels, a certified true copy of the report on the ratings be obtained in the course which he took during the
semester including the number of units earned. In addition, as soon as he/she finished a specific curricular towards a
degree he/she should submit a complete set of his/her transcript of grades and special order to the superintendent
through his immediate superior for validation and verification.
7. The Maximum study of nine (9) units per semester or summer should be strictly observed. Teachers who are
candidates for graduation may be allowed to carry from (1) one to three (3) units more than the nine (9) units
authorized provided that those units are the last units that the teachers need to enable them to graduate. No
exemption will be given to the teachers who do not fall under the above state condition. Violation of this regulation
on the study load shall be sufficient cause for revocation of the permission to study for administrative action.
8. The college, school or university in which the teacher contemplates enrolling should be accessible to this official
station so that he will not be unduly complied to hurry there from in order to arrive at his class by time. The teacher
should attend to his outside study not earlier than thirty (30) minutes after the afternoon session in the public school.
9. The immediate superior or supervisor shall be hold responsible for any undue delay in forwarding the application to
the superintendent, if the application to the superintendent has been filed on time.
_______________________________________________________________
(Name and location of college where application wishes to enroll)
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that REGIE D. PUGAY a public school teacher, is seeking admission in this college to (course)
DOCTOR OF PHILOSOPHY MAJOR IN EDUCATIONAL MANAGEMENT with the following subjects offered this 2ND
SEMESTER
COURSE DAYS OF THE WEEK HOURS OF THE DAY
____________________ ____________________________ _______________________
____________________ ____________________________ _______________________
____________________ ____________________________ _______________________
___________________________ _____________________________
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 Ebery term, a 3 unit lecture subject should be taken as follows:
SUMMER TERM – 1 ½ hours daily Monday through Saturday.
Maximum load; 9 units for all courses, 6 units in Law in prescribed subjects.
SEMESTRAL TERM – A total of three (3) hours a week. Maximum Load: 9 units for Undergraduate course
or 6 units of graduate level course except for enrollees in Special Saturday Classes
for maximum load not more than 6 units.
Cavite Capitol Compound, Brgy. Luciano, Trece Martires City, Cavite
(046) 419-0014, 419-1286, 412-0349, 419-1739, 412-0849
www.depedcavite.com.ph
deped.cavite@deped.gov.ph
“Serbisyong Pang-Edukasyong Tapat at Sapat para sa Batang KABITENYO”
