Туре оГГогт: Пссо/СШй СТеагапсс Гогт
Clearance Form No.: DС-2023-0601
DАУАО МАМРОУ ЕВ, INС
.
Оачао СЦу ОГПсе 2ГУИпчеаЦН Вдв,Сгоокеа Ва,ЕВапвоуS.«Те!Мо.224-5603»
Tele[aх 224-5609
сеЬи СЦуОНсе НТОЗбВУша РантаУ Вата Ауепие, биаааире, СеЬи СНучТеlеГах
(О32) 254-4922
Gепега SantosCIу ОШсеб"Ауе.,DelfnSubdMslon, Purok Malaкas, бепегal Santos Ciy
По-По СНуОНсе Зпееписк НотезАвиапаЗЦоЧ ВТКА,СиагегоТаго, Ио-оСНуТе!
Мо(ОЗЗ)
З29-2167
8Ince СавауапаеОгоСгу: Н2ОЗЦ Иавтау АрА,Вгву.22 Соггаlез Ехк,Савауап ае Ого СПу
Telefax No.(088)856-7400
EMPLOyEE CLEARANCE
Emplovee Name: Department:
Date Started: Date Ended:
Сопасг МосХ !D Мо!
Note to Slgnatories: please check on the accountabllties of the above named employee insofar
as your area of concern. Should the employee have any outstanding accountablly, please
indicate so under lhe column "Remarks". / he employee has no outstandlng accountabilly,
please indlcate
“cleared”under the column “Remarks”and afix your signature in the space provided below
Names &Position Signature Remarks Date Cleared
Account Coordinator
Human Resources Officer
Officer In Charge
Accounting Officer/Cash
Advance Officer
Accounting officer/Payroll
Adjustment Officer
Accounting Officer/RF Officer
Employee's signature over printed name
