Republic of the Philippines
Department of Education
REGION VIII (EASTERN VISAYAS)
SCHOOLS DIVISION OF BORONGAN CITY
STA. FE NATIONAL HIGH SCHOOL
Sta. Fe, Borongan City, Eastern Samar
_________________
Date
The Principal/School Head
_________________________
_________________________
Sir/Madam:
I have the honor to request from your office that we be furnished with a certified copy
of School Form 10 (Permanent Record) of the following student/s who has/have been
temporarily admitted in our school.
ATTENDED YOUR ATTENDED OUR
SCHOOL SCHOOL
Name
School Grade School Grade
Year level Year level
If the School Form 10 (Permanent Record) cannot be released due to pending
obligation/s with your school etc., kindly let us know so we can help you.
_______1st request ______URGENT
_______2nd request ______Entrust to the bearer
_______3rd request ______Please mail
By:
________________ ___________________
Class Adviser Principal
Sta. Fe National High School
Sta. Fe, Borongan City, Eastern Samar
[email protected]