CSC Form 305

REQUEST FOR PERMISSION TO STUDY

The Honorable Department of Education (Thru Chairman) Sir: In compliance with CSCMO S. 1988, I would like to request permission to study this school year 2009-2010, after office hours at the Philippine Christian University (Extension Program),
(University / College)

Asia College Campus, Bobon, Northern Samar.

(Address)

In this Connection I am submitting the following data/information about myself.

1. 2. 3.
4.

5. 6. 7. 8.

Civil Status: Widow BALLETA , NUNCIA L. Family Name Given Name MI Actual Salary: P15,691.00 Position : Teacher-I Department / Office Employed : DepED-CATARMAN I CENTRAL SCHOOL Nature of Office : Government Performance Rating for the last rating period : 8.49 Educational Qualification: BSBA + 18 units Education Other Special Trainings: ________________________ Nature of teaching Job: _________________________

College / University PCU PCU PCU PCU

Subjects to be taken
Philosophy of Education Educational Planning Educational Management Educational Legislation

Unit 3 3 3 3

Time
( Every Saturday & Sunday ( Every Saturday & Sunday) ( Every Saturday & Sunday) ( Every Saturday & Sunday)

I am attaching herewith a certificate of my result physical and my medical examination duly certified by a government physician.

___February 8, 2009__ Date

NUNCIA L. BALLETA

Applicant

Approved: THELMA C. QUITALIG, Ph.D. CEO V Schools Division Superintendent

Copy furnished

The Honorable The Commission on Civil Service Manila