Republic of the Philippines

Region I
LA UNION SCHOOLS DIVISION OFFICE
SAN GABRIEL DISTRICT
LIPAY INTEGRATED SCHOOL
Lipay Proper, San Gabriel, La Union

APPLICATION FOR PERMIT TO STUDY

January 3, 2019

DR. ROWENA C. BANZON, CESO V

Schools Division Superintendent
La Union Schools Division Office

Thru Channels

Madam:
I have the honor to ask permission to continue my Master’s degree under my own expense.
Information about me is as follows:

Place of Employment/School: Lipay Integrated School, Lipay Proper, San Gabriel, La Union.
Educational Qualification: Bachelor of Secondary Education
Area of Concentration: English
Institution in which to enroll: Don Mariano Marcos Memorial State University-South La Union Campus
Academic Year: 2018-2019 Semester: Second Semester

Subjects to be taken leading to the degree of: Doctor of Philosophy major in Educational Management
DAY TIME SUBJECT/S NO. OF UNITS
Saturday 8:00-5:00 Thesis Writing 6

It is further informed that the undersigned has read Gen.Cir.No.17s.1960 permitting teachers to
take four (4) subjects equivalent to 12 units and Cir.No.7s.1975.

Respectfully yours,

AROMA JANE M. FRANCO

Secondary School Teacher-I
 Republic of the Philippines

Region I
LA UNION SCHOOLS DIVISION OFFICE
SAN GABRIEL DISTRICT
LIPAY INTEGRATED SCHOOL
Lipay Proper, San Gabriel, La Union

1st Endorsement
January 3, 2018

Respectfully forwarded to the Schools Division Superintendent, La Union Schools Division Office,
recommending approval. It may be informed that the attendance of AROMA JANE M. FRANCO at DMMMSU-
SLUC does not interfere in any way with her school work as a Secondary School Teacher-I. Her performance
rating as of 2017-2018 is Very Satisfactory.

Recommending Approval:

MARY JANE L. ALMOITE, Ph.D.

Principal II

Approved:
DR. ROWENA C. BANZON, CESO V
Schools Division Superintendent
 Republic of the Philippines

Region I
LA UNION SCHOOLS DIVISION OFFICE
SAN GABRIEL DISTRICT
LIPAY INTEGRATED SCHOOL
Lipay Proper, San Gabriel, La Union

APPLICATION FOR PERMIT TO STUDY

January 3, 2019

DR. ROWENA C. BANZON, CESO V

Schools Division Superintendent
La Union Schools Division Office

Thru Channels

Madam:
I have the honor to request permission to continue my master’s degree under my own expense.
Information about me is as follows:

Place of Employment/School: Lipay Integrated School, Lipay Proper, San Gabriel, La Union.
Educational Qualification: Bachelor of Science in Education
Area of Concentration: TLE
Institution in which to enroll: DON MARIANO MARCOS MEMORIAL STATE UNIVERSITY- NORTH LA
UNION CAMPUS
Academic Year: 2018-2019 Semester: Second Semester

Subjects to be taken leading to the degree of: Master of Arts in Education major in Mathematics
DAY TIME SUBJECT/S NO. OF UNITS
Saturday 8:00-5:00 1 Feasibility and Project 9
Proposal Preparation
2 Entrepreneurship in
Education Management
3 Foundations of
Education

It is further informed that the undersigned has read Gen.Cir.No.17s.1960 permitting teachers to
take four (4) subjects equivalent to 12 units and Cir.No.7s.1975.

Respectfully yours,

FLORANTE L. UYAAN
Secondary School Teacher-I
 Republic of the Philippines

Region I
LA UNION SCHOOLS DIVISION OFFICE
SAN GABRIEL DISTRICT
LIPAY INTEGRATED SCHOOL
Lipay Proper, San Gabriel, La Union

1st Endorsement
January 3, 2019

Respectfully forwarded to the Schools Division Superintendent, La Union Schools Division Office,
recommending approval. It may be informed that the attendance of FLORANTE L. UYAAN at DON
MARIANO MARCOS MEMORIAL STATE UNIVERSITY- NORTH LA UNION CAMUS does not interfere in
any way with his school work as a Secondary School Teacher-I. Her performance rating as of 2017-2018 is
Very Satisfactory.

Recommending Approval:

MARY JANE L. ALMOITE, Ph.D.

Principal II

Approved:
DR. ROWENA C. BANZON, CESO V
Schools Division Superintendent