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Department of Education
Region IV – A CALABARZON
SCHOOLS DIVISION OF SANTA ROSA CITY
Dear Madam:
I, JOHN REY JUMAUAY in compliance with Memorandum Circular No. 17, 1986, would like to
kindly request permission to teach part-time at POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
– SAN PEDRO CAMPUS.
Please find hereunder other details of this application:
Subjects Taught:
Course
Title of Subject Days of the Week Hours of the Week Units
Number
LIT 1023 WORLD LITERATURE TUESDAY 3 HOURS 3
SEED 4053 FUNDAMENTALS OF RESEARCH THURSDAY 3 HOURS 3
ENGLISH TUTORIAL FRIDAY 3 HOURS 3
A. CERTIFICATION
This is to CERTIFY that Mr./Ms. JOHN REY JUMAUAY_ is given the above teaching loads with
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES – SAN PEDRO CAMPUS (name of school). This is
to further certify that he/she is only a part-time faculty of this school and we are aware that
he/she is primarily connected with DepEd Santa Rosa City.
Due to:
_____ Low performance rating in the last school year
_____ Frequent lates and absences in the previous school year/s
_____ Observed health condition
_____ Assigned other administrative tasks in the school
_____ Others: __________________________________
His/her latest performance rating is: ____________________________________
Describe his/her latest attendance records: ______________________________
Other Remarks: ________________________________________________________
______________________________________________________________________
HELEN A. RAMOS
OIC - Schools Division Superintendent