Republic of the Philippines
Department of Education
Region III
Schools Division of Bulacan
STA. CATALINA BATA NATIONAL HIGH SCHOOL
Sta. Catalina Bata, San Ildefonso,Bulacan
Date: January 28, 2019
The Registrar/Principal
Gala Vocational School
Gamay, Nothern Samar
Sir/Madam:
Kindly furnish this office a certified true copy of Form 137-A (Permanent Record) with LRN of the following student/s who has/have been
temporarily enrolled in this school. Your prompt attention to this request will be highly appreciated.
Classified in your School as Classified in our School as
Name of Student/s
Grade and Section School Year Year and Section School Year
RONCEL E. DOLIM Grade 7 – Talisay 2014 - 2015 Grade 10 – Mayon 2018 – 2019
( ) First Request Very truly yours,
( ) Second Request
( ) Third Request
( ) Urgent Request
( ) Please Entrust to the Bearer