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