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Clearance Slip

This is certifies that _______________________________________________________, Grade _____ pupil, School Year


2012 2013 is cleared of any responsibility and financial obligation and has complied with all necessary requirements
in the subjects listed below:
English ______________________

Mathematics ______________________

Science ______________________

Filipino ______________________

HEKASI ______________________

MSEP ______________________

EPP ______________________
Books ______________________

Projects ______________________ Voluntary Contribution ______________________

Clearance Slip

This is certifies that _______________________________________________________, Grade _____ pupil, School Year


2012 2013 is cleared of any responsibility and financial obligation and has complied with all necessary requirements
in the subjects listed below:
English ______________________

Mathematics ______________________

Science ______________________

Filipino ______________________

HEKASI ______________________

MSEP ______________________

EPP ______________________
Books ______________________

Projects ______________________ Voluntary Contribution ______________________

Clearance Slip

This is certifies that _______________________________________________________, Grade _____ pupil, School Year


2012 2013 is cleared of any responsibility and financial obligation and has complied with all necessary requirements
in the subjects listed below:
English ______________________

Mathematics ______________________

Science ______________________

Filipino ______________________

HEKASI ______________________

MSEP ______________________

EPP ______________________
Books ______________________

Projects ______________________ Voluntary Contribution ______________________

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