Reinstatement Form

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The Schools Division Superintendent

Division of Cabanatuan City


(Through Proper Channels) Date

Sir:/Madam:

I have the honor to return to work as of


effective 2009 I was on
leave of absence from_____ ________ 2009 to ,2009

Attached herewith .
Favorable action with regards to this request will be highly appreciated.

Very truly yours,

(Name of Employee)
(Please Signature Over Printed Name)

1st Indorsement
Cabanatuan District I

City of Cabanatuan, ,2009

Respecfully forwarded to the Schools Division Superintendent, City of Cabanatuan, through


channels, inviting attention of the application for reinstatement from Maternity/Vacation/Sick leave of
absence of Mr./Miss./Mrs. effective ,2009
and recommending favorable action.

(Name of Principal)
(Please Signature Over Printed Name)

2nd Indorsement
CABANATUAN DISTRICT I
Cab. Dist. I Office
City of Cabanatuan, ,2009

Respectfully forwarded to the Schools Division Superintendent, City of Cabanatuan, inviting attention
to the preceeding 1st Indorsement and recommending appropriate action.

DOLORCITA M. CASTILLO
Officer-In-Charge
APPROVED:
MALCOLM S. GARMA,CEO VI
Schools Division Superintendent

NOTE: Please submit your first day of service to this Office as usual.

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