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Division of Occidental Mindoro District of Mamburao

This document appears to be a teacher's clearance form containing information about the teacher such as the school year taught, certifications completed, records submitted, educational attainment, teaching experience, desired transfer or promotion, and recommendation for future assignment. The form requires signatures from the teacher, school principal, and district supervisor.

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Edwin Masicat
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109 views1 page

Division of Occidental Mindoro District of Mamburao

This document appears to be a teacher's clearance form containing information about the teacher such as the school year taught, certifications completed, records submitted, educational attainment, teaching experience, desired transfer or promotion, and recommendation for future assignment. The form requires signatures from the teacher, school principal, and district supervisor.

Uploaded by

Edwin Masicat
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Due in the D.

O, March________________

Accomplished in Triplicate (Form I copy in D.O)

DIVISION OF OCCIDENTAL MINDORO DISTRICT of MAMBURAO CLASSROOM TEACHER' S CLEARANCE Name District : ______________________ School l Year Taught :

I hereby certify that I have compiled with the following requirements accomplished ( or submitted on the date indicated )

B.S.P. Form I B.S.P. Form II B.S.P. Form III B.S.P. Form 178 B.S.P. Form 18-A, B & C B.S.P. Form 137-A,B & C Money Responsibility Msc.Funds,PTA, Class, Etc. Resignation? Desire Transfer?

Records Garden Projects Handicraft Articles Records Animal Projects Classroom Projects ________________________ Economics Projects Cooking Records Notebooks Others Where?

Educational Attainment Total teaching experience ( is, is not ) my desire to stay permanently in the teaching service. Why ? I understand that in the interest of the service, teachers may be transferred to other station and not reinstatement of an emergency teacher depends upon the availability of better applicant and needs of the service.

Signature of Teacher Date Property Custodian School Treasurer ___________________________ Report on Promotion

Residence or Home Address Vacation Address

Teachers Club Association President


___________________________________________

Permanent Record

Respectfully forwarded to the Schools Division Superintendent of Schools for approval. Quality of Service To be transferred ____________________________ Principal Date :__________________ To be reinstated Proposed Assignment ______________________________ District Supervisor Date :________________________

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