Department of Education

Region III
Division of City of San Fernando
North District
LARA INTEGRATED SCHOOL
City of San Fernando (P)
_____________________
Date
________________________
________________________
________________________
Sir/Maam,
Please furnish this office with the Form 137-A of the following students/pupils who were
temporarily admitted to this school, pending receipt of their permanent records.

Name of Pupil(s)

School Year

Classified as

DIZON, ANNA TERESA

S.

2014 - 2015

GRADE 3

DIZON, REDBILL S.

2014 - 2015

GRADE 3

Teacher

Please favor us with an early compliance to this request. If for one reason or another records
of the above mentioned students/pupils couldnt be releases kindly inform us.
Please return this slip to us.
Very truly yours,
JOSIE C. BAAGA
In- Charge of Records
URGENT _________
Entrust to bearer _____

-----------------------------------------------------------------------------------------------------------------------------------------------------------

Department of Education
Region III
Division of City of San Fernando
North District
LARA INTEGRATED SCHOOL
City of San Fernando (P)
_____________________
Date
________________________
________________________
________________________
Sir/Maam,
Please furnish this office with the Form 137-A of the following students/pupils who were
temporarily admitted to this school, pending receipt of their permanent records.

Name of Pupil(s)

School Year

Classified as

Teacher

2014 - 2015

Please favor us with an early compliance to this request. If for one reason or another records
of the above mentioned students/pupils couldnt be releases kindly inform us.
Please return this slip to us.
Very truly yours,
JOSIE C. BAAGA
In- Charge of Records
URGENT _________
Entrust to bearer _____