Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga PeninsulaDIVISION OF PAGADIAN CITY

Pagadian City

TEACHER’S CLEARANCE(Secondary)

(School)

(Date)

The Schools Division SuperintendentDivision of Pagadian CityPagadian CityThrough Channel

Sir:

I have the honor to inform you that I have satisfactorily accounted for all money and property accountabilities for which I was responsible and that all reports required of me were submitted on the date indicated below:

1. DepEd Form 1 6. Special Reports

2. DepEd Form 2 7. Income Tax Return

3. DepEd Form 18-A 8. Real State Tax

4. DepEd Form 137-A 9. Form 86

5. C.S Form 48: March 10. Homeroom PTA Report:

April 11. Fund Raising Report:

May 12. Property Inventory Report:

Very truly yours:

Teacher

Recommending Approval:

Department Head Teacher

1st Endorsement School

Pagadian City

(Date)

Respectfully forwarded to the Schools Division Superintendent of the DepEd Pagadian City Division the clearance of the teacher named above with the information that:

1. He/She has been cleared with money and property responsibility

2. He/She has been cleared as to financial reports

That, his/he last day of service is on + in the school, hence approval of the same is recommended.

(Principal)

APPROVED:

FELIX ROMY A. TRIAMBULO Schools Division Superintendent