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substitution-form.dotis.docx
1. Republic of the Phillipines
Department of Education
Caraga Administrative Region
Schools Division of Agusan Del Norte
District of Tubay 2
DOÑA TELESFORA INTEGRATED SCHOOL-DONA ROSARIO NHS-ANNEX
S.Y.2023- 2024
lOMoAR cPSD|16472497
SUBSTITUTION REQUEST FORM
INSTRUCTION: Please fill out this form in case you will be absent or cannot attend your classes. If
possible, this should be accomplished before the day or time of your absence. However, for emergency
absences, the school head may fill out this form and assign substitute teacher.
Date of Filing: _________________
TO: SCHOOL HEAD
Sir:
The undersigned would like to request for a substitute teacher during my absence
on _____________________ due to___________________________.
(indicate the date) (indicate your reasons)
INSTRUCTION: Please indicate your instructions to the substitute teacher.
Signature over printed name
Teacher requesting for Substitute.
NOTED:
WILLIAM E. FELISIDLA
School Head
____________________________________