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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III
SCHOOLS DIVISION OFFICE
City of San Jose del Monte
website: www.depedcsjdm.webs.com / e-mail: sanjosedelmonte.city@deped.gov.ph / telefax: (044) 8152815

APPLICATION FOR PERMIT TO TEACH

Date
Name of Teacher:
Applicants Assignment:
School:
District:
School where the applicant plans to teach:
School:
Place:
Last Performance Rating:

LIST OF SUBJECTS TO TEACH


[ ] 1ST Semester
SY 20___ - 20 ___
SUBJECT/S

[ ] 2ND Semester

[ ] Trimester

UNITS

DAY

[ ] Summer
TIME

Certified Correct:

Signature of Teacher

University Dean

Recommending Approval:

School Head
Approved:
GERMELINA H. PASCUAL
Schools Division Superintendent

Commitment Driven Performance by our Leaders, Character-Based Instruction for our Learners