Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISON OFFICE _____________
________________________________________
________________________________________
February 20, 2023
_______________________
Schools Division Superintendent
Office of the Schools Division Superintendent
Schools Division Office __________
_____________________
(Through Channel)
Madam:
I, the undersigned wish to inform your good office of my pregnancy and my intention to take the allotted
105 days of maternity leave.
I am a Senior High School teacher at Catubig Integrated School, Bolinao II District, Tara Bolinao,
Pangasinan.
I am expected to give birth to my firstborn child through normal delivery on April 19, 2023. In this
connection, may I humbly request you to grant my maternity leave from April 10, 2023 to July 23,
2023 to give me ample time to prepare for the birth, take care and bond with my child, regain enough
strength and improve my health before I return to work.
Your understanding regarding the matter shall be very much appreciated by the undersigned.
Thank you a hundred folds and God bless you!
Very truly yours,
________________________
Teacher ___
Noted:
_______________________
Principal / OIC