Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
September 4, 2024

SUSAN K. DELA TORRE

SAN FERNANDO CENTRAL ELEM. SCHOOL
San Fernando, Bislig City

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your School in your School our School

NEILJOHN M. MASANCAY
DANIEL J. OCHAVILLO
RHONIE B. OLIVA
HARVEY A. DUMA
JUMAR D. RAFANAN
LJE M. VIOLA
2023-2024 Grade 7-Love
JY-ANNE C. ALVAREZ Grade 6-Masigasig
ASHLEY A. ELLAZO
PRINCESS ROSE C. HABANA
JEANE A L. HOTOHOT
RICHEL A. OGUIS
RICHARD A. JAMISON
JAMES ABRAHAN
CLINT ASHJOELI ACEBES
ROGER D. ANTONINO
JAYLORD L. HABANA
WATSON W. MABANTA
JM D. OTACAN
SANTINO T. SOBRIANO Grade 6-Maalalahanin 2023-2024 Grade 7-Love
ALLESHCIA MHAE S. BENOSA
MELANIE JOY S. BINONGO
FRENCIA ROSE B. CAMPOS
JEANE M. L. HOTOHOT
MARRY GRACE MABANTA
GERLIE L. SALUBAR

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request MARY GRACE A. CORDERO
______ urgent Adviser
Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO` INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
February 6, 2024
ARIELJUN P. ROSAL
KAHAYAGAN NATIONAL HIGH SCHOOL
Tagbina, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your School in your School our School

ALISBO, TJ ELLAZO Grade 7-Daisy 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
February 6, 2024
ARIELJUN P. ROSAL
KAHAYAGAN NATIONAL HIGH SCHOOL
Tagbina, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your School in your School our School
 ALISBO, TJ ELLAZO. Grade 7-Daisy 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head
Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
October 18, 2023
JOVENA S. TORCINO
IBAÑEZ ELEMENTARY SCHOOL
Kinablangan, Baganga, Davao Oriental

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

GALUPE, VANHERT E. Grade 6-Lapu-Lapu 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. ARVIN T. GARSUTA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
October 18, 2023
JOVENA S. TORCINO
IBAÑEZ ELEMENTARY SCHOOL
Kinablangan, Baganga, Davao Oriental

Sir/Madam:
 Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

GALUPE, VANHERT E. Grade 6-Lapu-Lapu 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. ARVIN T. GARSUTA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
May 16, 2024
JAIME OLIVEROS
SIMON EDGAR A. GARAY ELEMENTARY SCHOOL
Kahayag, Bislig City, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

ABARICO, JHON PAUL B. Grade 6-Masunurin 2022-2023 Grade 7-Love

ABARICO, JENIE ROSE B. Grade 6-Masunurin 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
 May 16, 2024
JAIME OLIVEROS
SIMON EDGAR A. GARAY ELEMENTARY SCHOOL
Kahayag, Bislig City, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

ABARICO, JHON PAUL B. Grade 6-Masunurin 2022-2023 Grade 7-Love

ABARICO, JENIE ROSE B. Grade 6-Masunurin 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
February 6, 2024
THE PRINCIPAL
HINATUAN SOUTH CENTRAL ELEMENTARY SCHOOL
Hinatuan, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

GAYUMANI, BLESSY GRACE Grade 6-Bonifacio 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
February 6, 2024
.THE PRINCIPAL
HINATUAN SOUTH CENTRAL ELEMENTARY SCHOOL
Hinatuan, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

GAYUMANI, BLESSY GRACE Grade 6-Bonifacio 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
October 18, 2023
JAIME B. OLIVEROS
P.B. DURAY-TUMANAN ELEMENTARY SCHOOL
Tumanan, Bislig City

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

PONTILLO, JAYSON RENDON Grade 6-Masinop 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. ARVIN T. GARSUTA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
October 18, 2023
JAIME B. OLIVEROS
P.B. DURAY-TUMANAN ELEMENTARY SCHOOL
Tumanan, Bislig City

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

PONTILLO, JAYSON RENDON Grade 6-Masinop 2022-2023 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. ARVIN T. GARSUTA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
February 6, 2024
BONIFACIO N. RUADIEL,P-II
MAHOGANY INTEGRATED SCHOOL
Mahogany, Tagpupuran, Lingig, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

SILVA, JOANA MARIE P. Grade 7-Newton 2023-2024 Grade 7-Love

 If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head

Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
SAN FERNANDO INTEGRATED SCHOOL
San Fernando, Bislig City

REQUEST FORM
February 6, 2024
BONIFACIO N. RUADIEL,P-II
MAHOGANY INTEGRATED SCHOOL
Mahogany, Tagpupuran, Lingig, Surigao del Sur

Sir/Madam:

Please furnish our office with Certified True Copy of FORM 137 – A (Permanent Record) of the following students listed below
who are temporarily enrolled in this school upon presentation of their credentials which showed that they were students of your school.
Name of Students Year Level & Section School Year Enrolled Year Level & section Enrolled in
Enrolled in your in your School our School
School

SILVA, JOANA MARIE P. Grade 7-Newton 2023-2024 Grade 7-Love

If the school records cannot be released, please inform our end accordingly as soon as possible.

______ 1st request

______ 2nd request
______ 3rd request AILYN T. BERNAL
______ urgent Adviser Respectfully yours,

Note: Please allow the bearer to hand carry the form. JEREMY JOAN M. DE LA ROSA
School Head