Republic
of the Philippines
DEPARTMENT OF EDUCATION
Region
VIII
SCHOOLS
DMSIOM OF CATBALOGAN CITY
May 16, 2018
DIVISION MEMORANDUM
No. 172 s. 2018
DISSEMINATION OF REGIONAL MEMORANDUM NO. 209, S. 2018
TO: PUBLIC SCHOOLS DISTRICT SUPERVISORS
ELEMENTARY/SECONDARY SCHOOL HEADS TEACHING AND NON-TEACHING PERSONNEL
In connection with the above-captioned subject matter, enclosed herewith is the Regional Memorandum No. 209, s. 2018 dated May 8, 2018 re: REQUIREMENTS FOR
CORRETION OF PERSONAL INFORMATION IN THE SCHOOL RECORDS, contents of which is self-explanatory.
Please be guided accordingly.
CRISTITO A. ECO, CESO VI
Schools Division Superintendent
For the Schools Division Superintendent:
FRANCIS ANGELO S. GELERA/
Assistant
Schools Division Superintendent
_
Republic Of the Philippines
department of Education
REGIONAL OFFICE NO. VIH (EASTERN VISAYAS)
Government Center,
Candahug, Palo
.’
REGIONAL MEMORANDUM
No. 172 , s. 2018
REQUIREMENTS FOR CORRECTION OF PERSONAL
INFORMATION IN THE SCHOOL
RECORDS
To: Schools Division Superintendents
All Others Concerned
1. This Office hereby informs the field that the requirements for correction of personal information in the school records that must be complied with by the concerned applicants are the following, to wit
a. Duly filled-out Application Form
b. Original Copy of Certificate of Live Birth
issued by the Philippine Statistics
Authority
c. Affidavit of Two Disinterested Persons
d. Certified Photocopy of Form 137
e. Photocopy of a valid ID
f. Special Power of Attorney (if request is being made through a representative,
except to a father or mother if the applicant is still a minor)
2. Immediate dissemination of and compliance with this memorandum are desired.
RAMIR B. UYTICO, Ed.D.. CESOIV
OIC-Regional Director
Enclosures: Application Form
References: None
To be indicated in the Perpetual Index under the following subjects:
Republic of the Philippines
Department of Education
REGIONAL
OFFICE NO. VRI (EASTERN VISAYAS)
Government Center, Candahug,
Palo, Leyte
APPLICATION FORM
(Request for Correction of Entries of Personal imformation in the School Records)
Date
The Regional Director
DepEd Regional Office No. VIII
Government Center, Candahug, Palo, Leyte
Sin
May I respectfully request for the correction of entries of personal information in my school records particularly: (Please check)
( ) First Name
( ) Family Name
(/) Middle Name/Initial
( ) Date/Place of Birth
( ) Others,
from W to in
order to conform with the entries in the Birth Certificate issued by the National Statistics Office
(NSO).
Enclosed are the following documents in support of my request.
1. ORIGINAL COPY of Certificate of Live Birth issued by the NSO in a security paper.
2. Affidavit of Two Disinterested Persons.
3. Photo copy of Form 137.
4. Photo copy of valid ID.
5. Special
Power of Attorney (if request is being made through a representative, except to
father or
mother if the applicant is still a minor.
NAME OF APPLICANT
Address
Cellphone No. Purpose
Very truly yours,
Signature over printed name
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