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Republic of the Philippines Department of Education Region III Division of Aurora District of Maria Aurora KADAYAKAN ELEMENTARY SCHOOL

Maria Aurora

REINSTATEMENT OF DUTY

NAME OF TEACHER SCHOOL ASSIGNMENT STATION NO. EMPLOYEE NO. EFFECTIVE DATE OF RETURN INCLUSIVE DATE OF LEAVE KIND OF LEAVE POSITION / DESIGNATION : NATURE OF APPOINMENT MONHTLY SALARY

: : : : : : :

Mrs. Lita L. Roque

Kadayakan Elementary School____ e 042-023 4268269______________________ July 29, 2012__________________ May 30, 2012 to July 28, 2012____ Maternity Leave_______________ Teacher I_____________________ e

: :

Regular Permanent_____________ P 18, 549.00__________________

CONSOLACION R. MERCADO District Supervisor

Republic of the Philippines Department of Education Region III Division of Aurora District of Maria Aurora KADAYAKAN ELEMENTARY SCHOOL Maria Aurora

July 23, 2012

RHODA T. RAZON, CSEE, CEO VI Schools Division Superintendent Division of Aurora San Luis, Aurora

Thru Channel

Madam: I have the honor to request for reinstatement to my duty on July 29, 2012. I was on my maternity leave from May 30, 2012 to July 28, 2012. Attached herewith are the photocopy of Live Birth Certificate of my baby and Medical Certificate that I am fit to return to duty.

Very Truly Yours,

LITA L. ROQUE Teacher I Emp. No: 4268269

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