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Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF HIMAMAYLAN CITY
HIMAMAYLAN NATIONAL SCHOOL
VASQUEZ ST., III (POB.), HIMAMAYLAN, NEGROS OCCIDENTAL
Office of the Principal
REYNALDO G. GICO,Ed.D.,CESO VI
Office of the Schools Division Superintendent
Schools Division of Himamaylan City
Vallega St.,Brgy. 1, Poblacion, Himamaylan City, Negros Occidental
Sir Gico:
Good day!
I am formally writing your good office with the intention to apply for a vacation leave to
travel abroad in Niagara, Ontario, Canada.
I am planning to visit my daughter who has been away from us for a couple of years now
and have a family bonding together with my husband and other children. The effective date
of my travel is on June 18-July 19, 2020.
Sincerely,
NENITA D. CASTEL
Accountant I
Noted by:
SIXTO S. VALLEJERA
Principal III
CERTIFICATE OF CLEARANCE
Signed and given this 5th day of February, 2020 at Himamaylan National High School,
District X, Schools Division of Himamaylan City, Negros Occidental.
CERTIFICATION
Given this 5th day of February, 2020, Himamaylan City, Negros Occidental,
Philippines.
SIXTO S. VALLEJERA
Principal III
Noted by:
BERNIE L. LIBO-ON,PhD
OIC-Assistant Schools Division Superintendent
CERTIFICATION
This certification is issued upon the request of Mrs. Castel with her application for
vacation leave with pay to travel abroad effective June 18-July 19, 2020.
Done this 5th day of February, 2020 at Himamaylan City, Negros Occidental.
SIXTO S. VALLEJERA
Principal III
CERTIFICATION
SIXTO S. VALLEJERA
Principal III
RIZALDE A. SERVANO
Administrative Officer V
CERTIFICATION
SIXTO S. VALLEJERA
Principal III
____________________________________________________________________________________________________
1st Indorsement
February 20, 2020
SIXTO S. VALLEJERA
Principal IIII
February 24,2020
REYNALDO G. GICO,Ed.D.,CESO VI
OIC-Schools Division Superintendent
Schools Division of Himamaylan City
Vallega Street, Himamaylan City, Negros Occidental
Sir:
May I have the honor to apply for Special Privilege Leave for Women-R.A. 9710 effective
March 3-15, 2020. I am an Administrative Officer II(SHS) of Himamaylan National High
School, Schools Division of Himamaylan City.
1. 3 copies C.S. Form 6(Application for Special Privilege Leave for Women)
2. 3 copies Form 41 (Medical Certificate)
3. 3 copies Certificate of Clearance
4. 3 copies Service Record
1st Indorsement
February 24,2020
SIXTO S. VALLEJERA
Principal II
CERTIFICATE OF CLEARANCE
Signed and given this 24th day of February, 2020 at Himamaylan National High
School, District X, Schools Division of Himamaylan City, Negros Occidental.