Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF CITY OF MALOLOS
APPLICATION FOR PERMIT TO STUDY
Name of Applicant: ______________________________________ Position:
__________________
Civil Service Eligibility: ___________________________ Civil Status: ______________
Name of School Employed: ______________________________ Barangay:
________________
City/Municipality: ______________________
Distance in km between official station and college enrolled: _________
Course applied for: ________________________
Academic Year: _____________ Quarter/Semester/Summer: ___________
Number of units to be earned this quarter/semester/summer: ___________
I hereby certify that I have carefully read the information on the page of this
form and all the provisions of which I am bound to observe very strictly. I
understand that the regulations on the outside study are intended to primarily
safeguard the health of teaching/non-teaching personnel as well as to maintain the
efficiency in service. I also understand that if the opinion of the Schools Division
Superintendent adversely affects my efficiency as teaching/non-teaching personnel,
this permission to study shall be revoked.
Date accomplished: _______________ Signature of applicant: ________________
To Whom It May Concern:
This is to certify ___________________________, a public school
teacher/employee, is seeking admission in this school, college, university
_______________________________ with a degree of
___________________________________________ with the following subjects:
SUBJECT DAYS OF THE WEEK HOURS PER
WEEK
_______________________ _______________________
_______________________
_______________________ _______________________
_______________________
_______________________ _______________________
_______________________
_______________________ _______________________
_______________________
_______________________ _______________________
_______________________
__________________________________ __________________________________
DEAN REGISTRAR
RECOMMENDING APPROVAL:
___________________________________________
(Printed name and signature of School Head)
FERNANDINA P. OTCHENGCO, PhD, CESO VI
Address: Kuatro Kantos, Bagong Bayan, City of Malolos, Bulacan
Contact Number: (044) 795-0684
Email Address: malolos.city@deped.gov.ph
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF CITY OF MALOLOS
Assistant Schools Division Superintendent
APPROVED:
LEILANI SAMSON CUNANAN, CESO V
Schools Division Superintendent
INSTRUCTIONS
1. Application for permit to study must be submitted in three (3) copies and must
reach the office not later than a month before the start of actual classes. THIS
REQUEST MUST ONLY BE FILED ONCE BEFORE ENROLLING FOR THE FIRST TIME IN
ANY SCHOOL, COLLEGE, OR UNIVERSITY AS PER DEPED ORDER NO. 65, s. 1985.
2. The applicant must have at least a “VERY SATISFACTORY” performance
rating.
3. The approved permit to study is valid until the completion of the curriculum
towards a degree. Filing of request every semester is not necessary.
4. Applicants should attach the following in their application:
a. Class Program for teaching personnel or Certification of Work Schedule for
non-teaching personnel,
b. Certificate of Registration coming from the school, college, university the
applicant is enrolled, and
c. Latest Office Performance Commitment and Review Form (OPCRF) for
School Heads and Individual Performance Commitment and Review Form
(IPCRF) for other personnel.
5. The maximum of nine (9) units per semester must be strictly observed.
6. Part-time study shall only be pursued during Saturdays and Sundays or
starting 6:00 P M. during Fridays. The permit to study to pursue a Masters and/or
Doctoral studies in any college or higher education institution shall be issued to the
applicant, provided that such schooling will not affect the performance of the
regular/permanent teacher or employee concerned.
7. In the event the personnel will be rated below Satisfactory or
Unsatisfactory/Poor performance during the first year of the study, the permit is
automatically considered revoked.
8. The school, college, university where the applicant intends to enroll should be
proximate to his/her official station to avoid rushing to class.
Address: Kuatro Kantos, Bagong Bayan, City of Malolos, Bulacan
Contact Number: (044) 795-0684
Email Address: malolos.city@deped.gov.ph
