INSET Tarpaulin
INSET Tarpaulin
INSET Tarpaulin
Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
SOUTHCOM NATIONAL HIGH SCHOOL
Calarian, Zamboanga City
TEACHERS CLEARANCE
THE SCHOOLS DIVISION SUPERINTENDENT
Through the Principal, Southcom National High School
Zamboanga City
Sir:
I have the honor to inform you that I satisfactorily settled and accounted for all the
properties and financial obligations for which I was responsible in this school and reports required
of me both submitted on the date shown below for school year 2015-2016:
Checked by and date
(Signature over printed name)
1. School Form No. 1, 2, 3, 4, 5 ____________
2. Grading Sheets/
Class Records
_____________
Consolidated Grades ______________
3. DepEd Form 137
_____________
4. DepEd Form 138
_____________
5. CS Form 48(DTR)
_____________
6. Updated Form 212 ( PDS) _____________
7. Lesson Plans
Instructional Plans
______________
8. Nutritional Status (Base/End)______________
9. Class /Organizational List _____________
10. List of Retained/
Dropped Out
Transferred In and Out _____________
11.
ITR ( Income Tax Return _____________
12.
13.
14.
15.
16.
17.
18.
19.
Library
_____________
Classroom Inventory
(MR Form)
______________
Financial Obligations
Teachers Club
______________
Canteen
______________
Accomplished IPCRF
and Teachers
Accomplishment
Report/ Portfolio
______________
Department
Accomplishment/
Financial Report
______________
NCBTS/TSNA
_____________
201 Documents
_____________
HRPTA Financial Report ____________
In the exigency of service, I am willing to report to work and attend Summer INSET for
Teachers.
_________________________________
Signature over Printed Name
________________________
Department Coordinator
-------------------------------------------------------------------------------------------------------------------------------------------1st Endorsement
Southcom National High School
Zamboanga City, ______________, 20______
RESPECTFULLY FORWARDED to the Schools Division Superintendent, Division of City
Schools, this city, the last day of service of teacher/employee at the Southcom National High
School, Zamboanga City was _________________________, 20___________.
The above statement is correct and a CONDITIONAL CLEARANCE is hereby granted.
APPROVED:
GLORIA P. CARPIO
Secondary School Principal-II
PEDRO MELCHOR M. NATIVIDAD, CSEE
Schools Division Superintendent
Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboaga City
SOUTHCOM NATIONAL HIGH SCHOOL
Calarian, Zamboanga City
SUPPLEMENTARY CLEARANCE
Please accomplish the following documents to be submitted for this school year 2015-2016.
Furthermore, please compile it correctly and efficiently.
I.