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Teacher Clearance Report Form

1. The teacher is requesting clearance from the Schools Division Superintendent after satisfactorily accounting for all property and money responsibilities. 2. Various forms and reports have been submitted on their respective due dates, including inventory of property, homeroom projects, canteen reports, and health forms. 3. The teacher's last day of service was noted, and all supplies and materials were properly stored and left in the care of another teacher. 4. Contact information was provided and the principal verified the statements as true and correct, recommending approval of complete clearance.

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Precilla Halago
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64 views2 pages

Teacher Clearance Report Form

1. The teacher is requesting clearance from the Schools Division Superintendent after satisfactorily accounting for all property and money responsibilities. 2. Various forms and reports have been submitted on their respective due dates, including inventory of property, homeroom projects, canteen reports, and health forms. 3. The teacher's last day of service was noted, and all supplies and materials were properly stored and left in the care of another teacher. 4. Contact information was provided and the principal verified the statements as true and correct, recommending approval of complete clearance.

Uploaded by

Precilla Halago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TEACHER’S CLEARANCE

The Schools Division Superintendent


Division of City Schools
(Thru Channels)
Sir:
I have the honor to report that I have satisfactorily accounted for all property and money which I am
responsible in this school and all reports received have been submitted on date shown below:

1. PAST _____________________ 5. Inventory


2. School Forms Property____________________________
Form 1 _______________________ 6. Homeroom Projects with Financial Report
___________________________________
Form 3 ______________________ 7. Canteen Financial Report_____________
Form 5 ________________________ 8. PHIL-IRI __________________
Form 137 ______________________ 9. Form 86(Health
Form 138 ______________________ Form)_________________
Form 48 ______________________ 10. Updated LIS_________________
Ranking of Honors(for section 1)_________ 11. Teachers’ Portfolio(updated)__________
3. Home Visitation Report_______________ 12. Sample of Pupils’ Portfolio____________
4. 3rd- 4th TTR/Post __________________

Resignation? _______ If so, is the application submitted? _____ Leave? _____ If so, is CS Form 6
attached? _______ Are all test papers and results filed carefully?_____.
Last day of service in school is _______. All supplies, equipment and materials in my classroom are
properly kept and padlocked and left in charge of the ______. My mailing address is
__________________________________________________, contact number _____________________.

Very Truly yours,

______________________________
Teacher
Verified True and Correct:

MARIA ANGELICA E. FIGUEROA


Principal II
Unang Paglilipat
Distrito ng Timog Heneral Santos
March _____, 2015

Respectfully forwarded to the Schools Superintendent, Division of City Schools, General Santos
City with the information that the above statements are true and correct and that complete clearance is
recommended.

Recommending Approval:
HYDE C. FRANCISCO
District Supervisor

APPROVED:

MARIO M. BERMUDEZ
Assistant Schools Division Superintendent
Clearance
SECTION NAME Teacher Pupils

I – Albay Adviser Mrs. Ligaya J. Sinoy


Mrs. Carmelita A.
I – Bohol Adviser Wang
I – Cebu Adviser Mrs. May P.
Saquilabon
Mr. Jonas B.
I - Davao Adviser
Fernando
Mrs. Gemma B.
II – Charity Adviser
Fajardo
II – Faith Adviser Mrs. Ruby F. Gatan
II – Hope Adviser Mrs. Gemalyn
Refuelo
Mrs. Lyndre
II – Love Adviser
Tanghinan
Mrs. Nancy D,
III – Diamond Adviser
Mejares D.
Mrs. Godofreda
III – Gold Adviser
Manlunas
Mrs. Hannah A.
III – Emerald Adviser
Villagantol
III – Garnet Adviser Ma. Chinky Jara
IV - Earth Adviser Mrs. Arlene S. Garcia
IV – Venus Adviser Mr. Felipe C. Rulona
Jr.
Mr. Emmamuel S.
IV – Saturn Adviser
Halago III
IV – Mars Adviser Ms. Mary Capricho
V – Daisy Adviser Mrs. Mila Jessica A.
Cabañog
V – Santan Adviser Mrs. Eneriza Sugala
V – Sunflower Adviser Mrs. Nelisa M.
Mrs.Oringo
Emily D.
V- Lily Adviser
Alconera
VI Einstein Adviser Mrs. Elilanie B. Sales
VI Newton Adviser Mr. Jeffrey S. Salarda
VI Galileo Adviser Mrs. Gloria P. Zaulda
KD – Gongob Janet M. Gongob
KD - Abao Jennifer O. Abao
KD -Gasacao Joanne Michelle M.
Gasacao
Nutrition-in-Charge Delia L. Loquais
Guidance COunselor Precilla U. Halago

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