(DATE)
MA. LIZA R. TABILON EdD, CESO V
Schools Division Superintendent
Officer-in-Charge
Office of the Schools Division Superintendent
Dipolog City Division
Purok Farmers, Olingan, Dipolog City
Madam:
I would like to apply for Reclassification from Teacher I to Teacher III position in Miputak,
National High School, Amatong Road, Miputak, Dipolog City.
Attached are pertinent documents for the said application:
1. Endorsement from the SDS stating/justifying that the incumbent of the position to be
reclassified is qualified to occupy the new position. (2 copies)
2. Duly accomplished Equivalent Record Form. (5 copies)
3. Certified True Copy of Transcript of Records. (1 copy)
4. Updated Service Record issued and signed by the Administrative Officer. (2 original
copies)
5. Certification of Performance Rating for the last three school years. (1 copy)
6. Omnibus Sworn Statement that all documents submitted are true and correct with
documentary stamp duly signed by the applicant, duly sworn to by a Lawyer. (2 original
copies)
7. Existing/Actual Duties and Responsibilities - Position Description Form duly signed by
the applicant and approved by the immediate supervisor/school head. (2 copies)
Hoping for favourable action on this matter.
Truly yours,
JADE C. BALIOLA
Applicant