Download - Year-End Clearance for Teachers
Department of Education
Employee No.___________
Republic of the Philippines
DEPARTMENT OF EDUCATIONRegion IV MIMAROPA
Division of Oriental Mindoro
DISTRICT OF PINAMALAYAN EASTPinamalayan ELEMENTARY SCHOOL TEACHERS CLEARANCE
Name: _____________________________________
School: ____________________________________Grade Taught: ____________________
School Year: _________________
I hereby certify that I have complied with the following requirements on dates specified below.REQUIREMENTSNAME & SIGNATURE OF IN-CHARGEDATE SIGNED
Form 1MAYLYN S. LIMBO
Form 2REYNALDO L. PRIVADO
Form 3 & Property Inventory Report (from DepEd & from donations)REYNALDO L. PRIVADO
Form 4MAYLYN S. LIMBO
Form 5 (Report on Promotion )ESMERALDA A. GARCIA
Form 6ESMERALDA A. GARCIA
Form 7 ESMERALDA A. GARCIA
Performance Appraisal System for TeachersESMERALDA A. GARCIA
Action Research & Kinder ReportsLENIE F. FIESTADA
Year End School Clearance & Tax ClearanceESMERALDA A. GARCIA
Community Tax Cert. No.________________ Date Issued: ___________________Place Issued: ______________________________ Desired Transfer: Yes No If yes, where? _________________________________________________________________ Educational Attainment: _________________________________________________ Total Experience: ______________ Present Salary: ________________________ Status: ____________________Position: __________________________
I shall I shall not attend summer classes this summer.
Vacation Address: _________________________________________________________________________Contact No.: __________________
Date Accomplished: ________________________
____________________________
Signature of Teacher
Checked & Verified:
ESMERALDA A. GARCIAHead Teacher IIPINAMALAYAN EAST DISTRICT PINAMALAYAN
March 31,, 2015
Respectfully forwarded to the Schools Division Superintendent, Calapan City, the herein Clearance of Mr./Mrs./Miss ___________________________________ for SY 2014-2015, recommending approval.
ESMERALDA A. GARCIA
Head Teacher IIAPPROVED:
MARIA LUISA D. SERVANDO, Ph. D.
OIC-Schools Division Superintendent