Department of Education
Region VI – Western Visayas
DIVISION OF CAPIZ
Commissioner Luis R. Asis National High School
Poblacion Ilaya, Panay, Capiz
January 06, 2024
MIGUEL MAC D. APOSIN EdD, CESO V
Schools Division Superintendent
Division of Capiz
Sir:
I have the honor to request permission to study to the condition and requirements contained in the General
Circular No. 17, s. 1968: Circular No. 1, s. 1963 and the other requirements on outside study of teachers.
In this connection, I am submitting the following information:
Name: CHEZCA JOYCE L. BAÑO School where assigned: MALONOY NATIONAL HIGH SCHOOL
Province: CAPIZ Experience: 8 months
Efficiency ratings for the last three years: N/A
Distance in kms. Between official station to College/University: 53 kms.
Degree to be pursued: MASTER OF EDUCATION, major in TECHNOLOGY LIVELIHOOD EDUCATION
College/University to take the degree: CAPIZ STATE UNIVERSITY, MAIN CAMPUS, ROXAS CITY
I. Subject/s already taken:
Course No. Descriptive Title Rating Term Taken
______ __________
______ __________
II. Subject/s being taken
Course No. & Descriptive Title Units Time Term Taken
______ __________
______ __________
______ __________
______ __________
III. Subject/s to be taken (list all subjects you have to take to complete the course in addition to the above)
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
May this endeavor for my professional growth merit your support.
Thank you.
Respectfully yours,
QUEENNIE C. CORCINO
Secondary School Teacher I
(This teacher will not be assigned to work on Saturday)
ATTESTED:
CERTIFIED CORRECT:
QUINTO L. TAGOC JR., EdD
PEARLIE M. UNATING, MPA
School Principal IV
Registrar III
Capiz State University, Roxas City
APPROVED:
MIGUEL MAC D. APOSIN EdD, CESO V
Schools Division Superintendent
Department of Education
Region VI – Western Visayas
DIVISION OF CAPIZ
Commissioner Luis R. Asis National High School
Poblacion Ilaya, Panay, Capiz
January 06, 2024
MIGUEL MAC D. APOSIN EdD, CESO V
Schools Division Superintendent
Division of Capiz
Sir:
I have the honor to request permission to study to the condition and requirements contained in the General
Circular No. 17, s. 1968: Circular No. 1, s. 1963 and the other requirements on outside study of teachers.
In this connection, I am submitting the following information:
Name: QUEENNIE C. CORCINO School where assigned: MALONOY NATIONAL HIGH SCHOOL______
Province: CAPIZ Experience: 4 months
Efficiency ratings for the last three years: N/A
Distance in kms. Between official station to College/University: 53 kms.
Degree to be pursued: MASTER OF EDUCATION, major in TECHNOLOGY LIVELIHOOD EDUCATION
College/University to take the degree: CAPIZ STATE UNIVERSITY, MAIN CAMPUS, ROXAS CITY
II. Subject/s already taken:
Course No. Descriptive Title Rating Term Taken
______ __________
______ __________
II. Subject/s being taken
Course No. & Descriptive Title Units Time Term Taken
______ __________
______ __________
______ __________
______ __________
III. Subject/s to be taken (list all subjects you have to take to complete the course in addition to the above)
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
_____________ ________________________________ ______________
May this endeavor for my professional growth merit your support.
Thank you.
Respectfully yours,
QUEENNIE C. CORCINO
Secondary School Teacher I
(This teacher will not be assigned to work on Saturday)
ATTESTED:
CERTIFIED CORRECT:
QUINTO L. TAGOC JR., EdD
PEARLIE M. UNATING, MPA
School Principal IV
Registrar III
Capiz State University, Roxas City
APPROVED:
MIGUEL MAC D. APOSIN EdD, CESO V
Schools Division Superintendent
