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Teacher Clearance Process

This document is a clearance form for Charlie F. Estrada, applying for clearance from money, property, and work-related accountabilities from J.C. Macaranas Elementary School. It certifies that Mr. Estrada has been cleared of such accountabilities by various school officials, including the principal, librarian, and cashier/school treasurer. The form also confirms there are no pending administrative cases against Mr. Estrada. It requests clearance for retirement effective March 28, 2019.

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Charlie Ferrer Estrada
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330 views2 pages

Teacher Clearance Process

This document is a clearance form for Charlie F. Estrada, applying for clearance from money, property, and work-related accountabilities from J.C. Macaranas Elementary School. It certifies that Mr. Estrada has been cleared of such accountabilities by various school officials, including the principal, librarian, and cashier/school treasurer. The form also confirms there are no pending administrative cases against Mr. Estrada. It requests clearance for retirement effective March 28, 2019.

Uploaded by

Charlie Ferrer Estrada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Republic of the Philippines

CS Form No. 7 DEPARTMENT OF EDUCATION


Region I
Schools Division Office I Pangasinan

CLEARANCE FORM

I PURPOSE
March 18, 2019
Date of Application
TO: SDO1 PANGASINAN
I hereby apply for clearnace from money, property and work-related accountabilities for:

Purpose: / Transfer Resignation Other Mode of Separation

Retirement Leave Please specify: ___________

Effectivity/Inclusive Period: March 28, 2019

Office of Assignment: J.C. MACARANAS ELEMENTARY SCHOOL


Position/SG/Step: Master Teacher I/18/1 CHARLIE F. ESTRADA
Name and Signature of Employee
II CLEARANCE FROM WORK RELATED ACCOUNTABILITIES
We hereby certify that this applicant is cleared of work-related accountabilities from this Unit/Office/Dept.

GRACE P. MOLINA GLORIA C. SANTIAGO


Master Teacher I Principal I

III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES


Not Name of Clearing
Name of Unit/Office/Department Cleared Signature
Cleared Officer/Official
1. Administration Sector
BRYAN S. DE GUZMAN
A. Supply and Property Procurement and
Management Services School Property Custodian
GLORIA C. SANTIAGO
B. Human Resource Welfare and Assistance
Principal I

C. Agency-accredited Union/Cooperative
N/A
2. Library
A. Legal Office Library
N/A
BRYAN S. DE GUZMAN
B. Library Services
Librarian
3. Finance and Assets Management
LORNA C. MANANGAN
A. Financial Services
Cashier/School Treasurer

B. Transaction, Processing & Billing Services


N/A
LORNA C. MANANGAN
C. Payroll & Remittance Services
Cashier/School Treasurer
4. Professional and Institutional Development
A. Scholarship Services
N/A
IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:
A. Internal Affairs Office/Legal Affairs Office
N/A
with pending administrative case
with ongoing investigation (no formal charge yet)
with ongoing investigation (no formal charge yet)
V CERTIFICATION

MARILU N. CARDENAS
Assistant Schools Division Superintendent

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