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I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: ✘ Transfer Resignation Other Mode of Separation:
Retirement Leave Please specify:
Effectivity/Inclusive Period: July 8, 2020
Plaridel Integrated National High School
Office of Assignment: District of Nagcarlan, Division of Laguna
ERVIN C. REYES
Position/SG/Step: Master Teacher 2/ 19 / 2 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.
ROMEO M. SULIGUIN, EdD GREGORIA B. GUTIERREZ, EdD
Principal II District Supervisor
Immediate Supervisor Head of Office
III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES
Not
Name of Unit/Office/Department Cleared Cleared
Name of Clearing Officer/Official Signature
1. Administration Sector
LOURDES M. FRESNIDO
b. Human Resource Welfare & Assistance Administrative Officer IV
N/A
a. Legal Office Library
N/A
b. Library Services
3. Finance and Assets Management
IRENE A. FERNANDEZ
a. Financial Services Accountant III
IRENE A. FERNANDEZ
b. Transaction, Processing & Billing Services Accountant III
IRENE A. FERNANDEZ
c. Payroll & Remittance Services Accountant III
4. Professional and Institutional Development
a. Scholarship Services
IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:
Page 1 of 2
CS Form No. 7 Republic of the Philippines
Series of 2018 DEPARTMENT OF EDUCATION
Region IV-CALABARZON
SCHOOLS DIVISION OF LAGUNA
CLEARANCE FORM
I PURPOSE
July 8, 2020
Date of Application
TO: DEPARTMENT OF EDUCATION
(Agency Name)
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: ✘ Transfer Resignation Other Mode of Separation:
Retirement Leave Please specify:
Effectivity/Inclusive Period: July 8, 2020
Plaridel Integrated National High School
Office of Assignment: District of Nagcarlan, Division of Laguna
ERVIN C. REYES
Position/SG/Step: Master Teacher II / 19 / 2 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.
ROMEO M. SULIGUIN, EdD GREGORIA B. GUTIERREZ, EdD
Principal II District Supervisor
Immediate Supervisor Head of Office
III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES
Not
Name of Unit/Office/Department Cleared Cleared
Name of Clearing Officer/Official Signature
1. Administration Sector
MARIAN B. VERGARA
b. Human Resource Welfare & Assistance Teacher III - School Guidance Councilor
N/A
a. Legal Office Library
N/A
b. Library Services
3. Finance and Assets Management
EMMA E. PONTEPEDRA
a. Financial Services Teacher II - School Treasurer
a. Scholarship Services
IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:
Page 1 of 2
INSTRUCTIONS:
2. This clearance should be duly accomplished before paying the last salary or
any money due the employees. (Specify which type of clearance: maternity
leave, retirement, transfer, etc.)