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    Year-End Teachers' Clearance School Year 2013-2014: The Principal

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    Emil Sayse
    This document is a year-end teacher's clearance form from the Division of City Schools in Mandaluyong for the 2013-2014 school year. The teacher is requesting clearance after satisfactorily settling all property and financial obligations for the school year and submitting all required reports, including classroom inventory, medical exams, lesson plans, student records and tax returns. The principal signs to approve and grant clearance for the teacher.

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    Year-End Teachers' Clearance School Year 2013-2014: The Principal

    Uploaded by

    Emil Sayse
    23 views3 pages
    This document is a year-end teacher's clearance form from the Division of City Schools in Mandaluyong for the 2013-2014 school year. The teacher is requesting clearance after satisfactorily settling all property and financial obligations for the school year and submitting all required reports, including classroom inventory, medical exams, lesson plans, student records and tax returns. The principal signs to approve and grant clearance for the teacher.

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    Clearance

    Original Title

    Teachers Clearance

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    This document is a year-end teacher's clearance form from the Division of City Schools in Mandaluyong for the 2013-2014 school year. The teacher is requesting clearance after satisfactorily settling all property and financial obligations for the school year and submitting all required reports, including classroom inventory, medical exams, lesson plans, student records and tax returns. The principal signs to approve and grant clearance for the teacher.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    23 views3 pages

    Year-End Teachers' Clearance School Year 2013-2014: The Principal

    Uploaded by

    Emil Sayse
    This document is a year-end teacher's clearance form from the Division of City Schools in Mandaluyong for the 2013-2014 school year. The teacher is requesting clearance after satisfactorily settling all property and financial obligations for the school year and submitting all required reports, including classroom inventory, medical exams, lesson plans, student records and tax returns. The principal signs to approve and grant clearance for the teacher.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Division of City Schools

    City of Mandaluyong
    ______________________________
    School and Address

    Year-End Teachers’ Clearance


    School Year 2013-2014
    The Principal
    Sir/Madam:
    This is to inform you that I have satisfactorily settled all the property and financial obligations in the school and
    that I have submitted all the required reports as listed below. May I then be granted the Year-End Clearance for School
    Year 2013-2014.
    CHECKED BY:/Date CHECKED BY:/Date
    (Signature over printed name) (Signature over printed name)

    1. School Form 1: School Register _____________


    2. School Form 2: Daily Attendance
    of Learners __________________ 19. Classroom inventory and room safety
    3. Grading Sheets ____________________ a. room keys __________________
    4. School Form 5: (Report on b. books __________________
    Promotion & Level of Proficiency ______________ c. equipment ___________________
    5. DepEd Form 137 ____________________ d. furniture ___________________
    6. DepEd Form 138 ____________________ 20. X-ray & Urine, ECG Exam __________________
    7. Return of Unissued Cards ____________________ 21. Dental Result __________________
    8. CS Form 48 ____________________
    9. Guidance Form ____________________ 22. Financial Obligations
    10. Updated Form 212 (PDS) ____________________ Teachers Club Dues ____________________
    11. Lesson Plans/DLL ____________________ Canteen Funds ____________________
    12. Test Notebook ____________________
    13. Nutritional Status 23. Performance Rating ____________________
    (Feeding teacher) ____________________
    14. Class Organizational list 24. SALN as of December 2013
    (Gr. /Yr. level chairmen) ____________________ _______________________
    15. List of Retained/
    Drop-Out/ Transferred In and Out/ 25. Latest Instructional Materials Prepared
    Failures ______________ ___________________
    16. List of Students with
    General Average ______________ 26. Accomplishment Reports (if applicable)
    17. Income Tax Return (ITR) ____________________ _______________
    18. Library
    a. Borrowed Books ____________________
    b. Borrowed Materials ____________________

    In the exigency of service, I am willing to report to work and attend Summer INSET for Teachers.

    Present Home Address: ____________________________________________


    Telephone/Cell phone Numbers: _______________________________

    ______ _________________________
    Printed Name and Signature of Teacher
    Recommending Approval:
    Department Head/Chairman ___________________ Date: __________________
    Assistant to the Principal ____________________ Date: __________________

    Approved and clearance granted:


    _________________________________
    Principal

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