clearance
Post on 03-Sep-2015
219 Views
Preview:
DESCRIPTION
TRANSCRIPT
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 1LEONA F. FAIN
Form 2EMMA M. GUTIERREZ
Form 3 & Property Inventory Report (from DepEd & from donations)JOSEPH F. FAIN
Form 4REY D. SENORIN
Form 5 (Report on Promotion )REY D. SENORIN
Form 6REY D. SENORIN
Form 7 REY D. SENORIN
Performance Appraisal System for TeachersREY D. SENORIN
Action Research & Kinder ReportsREY D. SENORIN
Year End School Clearance & Tax ClearanceREY D. SENORIN
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:
REY D. SENORINHead Teacher IIIPINAMALAYAN 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.
REY D. SENORIN
Head Teacher III
APPROVED:
MARIA LUISA D. SERVANDO, Ph. D.
OIC-Schools Division Superintendent
top related