CAVS FORM 5

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CAV FORM 5 – SCHOOL TRANSMITTAL TO THE REGIONAL OFFICE

Republic of the Philippines


Department of Education
Region_________
Division_______
School Name___________

1ST Endorsement
___________
Date

Respectfully forwarded to the Regional Director DepEd Regional Office__________,


Address ____, the herein request of Name of Learner for certification, Authentication and
Verification (CAV) of his / her Academic School Records.

For ready references and perusal, attached are the following documents/records marked
( √ ) below properly enclosed in sealed envelope.

( ) Certification of Completion / graduation.


( ) Certification of English as Medium of Instruction.
( ) Form – 137
( ) Diploma

For the preferences appropriate action of the Regional Director.

___ __________________________
Signature over Printed Name
(School Head/Principal)
Attached as stated

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