Republic ____________________

AGENCY NAME
Address
Contact Number

CERTIFICATE OF CLEARANCE

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT MR/MS. ____________________, ______(Position)______, is

hired under Contract of Service with assignment at the Human Resource Management
Section of the _______(Agency)________ , _________(Address)_________ and is hereby cleared of
work, money and property accountabilities from this office effective June 12, 2019.

This clearance, however, does not preclude any accountability or responsibility that
may be discovered after this date.

ISSUED this 3rd day of June, 2019, at Davao City, Philippines.

__________________________ ___________________
Immediate Supervisor Chief, Accounting Section
Chief, HRM Section

__________________________ ______________________________
Chief, General Services Section Chief, Budget Section

_________________________
Chief Administrative Officer

_____________________________________
Regional Executive Director