SangayngPaaralangLungsod

DISTRITO NG HENERAL SANTOS

LungsodngHeneral Santos

NATIONAL (CITY) TEACHERS 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
_____________________
2. DepED Form
3.
Form 1
_______________________
4.
Form
2/3
______________________
5.
Form 18-E
________________________
6.
Form
137
______________________
7.
Form
138
______________________
8.
Form
48
______________________
9.
Form
20
______________________

10.
Ranking
of
Honors___________________
11. Home Visitation Report_______________
12. 1st 4th TTR/Post
__________________
13. Inventory
Property____________________________
14. Homeroom Projects with Financial Report
___________________________________
15. Canteen Financial Report_____________
16. PHIL-IRI
__________________
17. Cards submitted to the office
18.
______________________________
____
19. Form 86(Health
Form)_________________

20.
21.
22.
23.

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
____________________________________________________________.

24.
25.
26.
27.

Very Truly yours,

29.
30.
31. Recommending Approval:
32.

28. _PRECILLA U. HALAGO_

Teacher

33.VICTORIA C. LARIOSA, JRA

34. Principal
35.
36. UnangPaglilipat
37. Distrito ngTimogHeneral Santos
38. March _____, 2013
39.
40.
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.
41.

42.

HYDE C.
FRANCISCO

43.
44.
45. APPROVED:
46.

47.

DIOSDADO F. ABLANIDO, CPA

48.

Schools Division Superintendent

District Supervisor