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    Department of Education: Republic of The Philippines Region Iii Schools Division Office of Pampanga

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    Janine Jordan Canlas-Bacani
    This document is a year-end teacher's clearance form from the Republic of the Philippines Department of Education Region III Schools Division Office of Pampanga. It lists 22 items that a teacher must satisfactorily settle before being granted clearance for the 2019-2020 school year, including returning keys, books, equipment, and furniture; submitting attendance records, grades, and various reports; settling financial obligations; and providing an updated home address and contact information. The teacher signs to confirm they have settled all obligations, and the principal signs to grant clearance.

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    Department of Education: Republic of The Philippines Region Iii Schools Division Office of Pampanga

    Uploaded by

    Janine Jordan Canlas-Bacani
    28 views3 pages
    This document is a year-end teacher's clearance form from the Republic of the Philippines Department of Education Region III Schools Division Office of Pampanga. It lists 22 items that a teacher must satisfactorily settle before being granted clearance for the 2019-2020 school year, including returning keys, books, equipment, and furniture; submitting attendance records, grades, and various reports; settling financial obligations; and providing an updated home address and contact information. The teacher signs to confirm they have settled all obligations, and the principal signs to grant clearance.

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    teachers-clearance

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    This document is a year-end teacher's clearance form from the Republic of the Philippines Department of Education Region III Schools Division Office of Pampanga. It lists 22 items that a teacher must satisfactorily settle before being granted clearance for the 2019-2020 school year, including returning keys, books, equipment, and furniture; submitting attendance records, grades, and various reports; settling financial obligations; and providing an updated home address and contact information. The teacher signs to confirm they have settled all obligations, and the principal signs to grant clearance.

    Copyright:

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

    Department of Education: Republic of The Philippines Region Iii Schools Division Office of Pampanga

    Uploaded by

    Janine Jordan Canlas-Bacani
    This document is a year-end teacher's clearance form from the Republic of the Philippines Department of Education Region III Schools Division Office of Pampanga. It lists 22 items that a teacher must satisfactorily settle before being granted clearance for the 2019-2020 school year, including returning keys, books, equipment, and furniture; submitting attendance records, grades, and various reports; settling financial obligations; and providing an updated home address and contact information. The teacher signs to confirm they have settled all obligations, and the principal signs to grant clearance.

    Copyright:

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

    Republic of the Philippines

    Department of Education
    REGION III
    SCHOOLS DIVISION OFFICE OF PAMPANGA
    ___________________________________________________________________________________________________________

    Year-End Teachers’ Clearance


    School Year 2019-2020
    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 2019-2020

    1. School Form 1: School Register _____________ a. room keys __________________


    2. School Form 2: Daily Attendance b. books –SF3 __________________
    of Learners __________________ c. equipment ___________________
    d. furniture ___________________
    3. Grading Sheets ____________________
    4. School Form 5: (Report on
    Promotion & Level of Proficiency ______________ 18. Financial Obligation
    Teachers Club Dues ____________________
    5. DepEd Form 137 ____________________
    Canteen Funds ____________________
    6. DepEd Form 138 ____________________
    7. Return of Unissued Cards ____________________ 19. IPCRF ____________________
    8. CS Form 48 ____________________
    9. Return to Duty ____________________ 20. SALN as of December 2019
    10. Maternity Leave ____________________ _______________________
    11. Updated Form 212 (PDS) ____________________
    21. Latest Instructional Materials Prepared
    12. Lesson Plans/DLL ____________________ ___________________
    13. Nutritional Status
    (Feeding teacher) ____________________ 22. Accomplishment Reports (if applicable)
    14. Money Accountabilities ____________________ _______________
    15. Property Accountabilities ____________________
    16. List of Retained/
    Drop-Out/ Transferred In and Out/
    Failures ______________
    17. Classroom inventory and room safety

    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:
    BAC Chairman _________________________________ Date: __________________
    Property Custodian ___________________________ Date: __________________

    Approved and clearance granted:


    _________________________________
    Principal
    ______________________________________________________________________________________________

    San Gabriel Elementary School, Macabebe East District


    Macabebe Pampanga

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