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REQUEST FOR PERMISSION TO TEACH
[ANNEX "A" - CIRCULAR NO. 50-97].
 




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REQUEST FOR PERMISSION TO TEACH
[ANNEX "A" - CIRCULAR NO. 50-97]
 
__________________
DATE
Hon. Court Administrator 
Supreme Court 
Manila 

Sir: 

In accordance with Supreme Court Circular No.1, dated May 2, 1973, as amended by the Resolution of the Court En Banc dated June 4, 1974 and the Civil Service Commission (CSC) Memorandum Circular No. 5, series of 1966, I have the honor to request permission to teach after office hours for the school year _________. In this connection, I am submitting the following data of information about myself:

   

1. NAME __________________________  CIVIL STATUS ______________
2. POSITION _______________________ STATION ___________________
3. EDUCATIONAL QUALIFICATIONS:  
COLLEGE/ UNIVERSITIES DEGREE PURSUED/FINISHED
___________________________________ ___________________________
___________________________________ ___________________________
___________________________________ ___________________________
4. OTHER SPECIAL TRAINING:  
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
5. NATURE OF TEACHING JOB:
College/University Subjects to be Taught Teaching Load for each Semester
_________________________ ___________________ ________________________
_________________________ ___________________ ________________________
_________________________ ___________________ ________________________
I am attaching herewith a certificate of my recent physical and medical examination, duly certified by a government physician. 
___________________________ 
DATE
_____________________
SIGNATURE
RECOMMENDING APPROVAL:
___________________________
Presiding Judge
 
* I hereby certify the following: 

Number of pending cases __________________ 

Number of cases disposed of within a three (3) Month period to start of semester________________________ 

______________________________
Clerk of Court
*To be filled up if applicant is a Judge 
 
      
 
 




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