For the SHS Non-Adviser

EXEQUIEL R. LINA HIGH SCHOOL

Brgy. Poblacion Norte, Licab, Nueva Ecija
April ____, 2020
JESSIE D. FERRER, CESO V
Schools Division Superintendent
Division of Nueva Ecija
Thru Channel

Sir:
I have the honor to inform you that I have satisfactory accounted for all school/ Division properties and
money for which I was responsible and that I have submitted all reports required of me on the dates shown below:
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NAME/TITLE OF REPORTS SIGNATURE DATE
SUBMITTED
1. School Forms 8- Health & Nutrition Report MARY KRISTINE S. DELA CRUZ ____________,2020

2. Students Portfolio MARIA CRISTINA A. CANLAS ____________,2020

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3. Test Results (4 Grading, Post Test) TESTING COORDINATOR ____________,2020

4. BPS Form 86 (Pro lab results and Health Card) MARY KRISTINE S. DELA CRUZ ____________,2020

5. Financial Report / Project Donations MARIA CRISTINA A. CANLAS ____________,2020

6. C.S. Form 48 ELIZABETH M. JACINTO ____________,2020

7. Daily Lesson Log / Lesson Plan MARIA CRISTINA A. CANLAS ____________,2020

8. School Property Inventory, Textbook Key JENNIFER VALDEZ ____________,2020

9. IPCRF Rating Form & Portfolio for 2019-2020 MARIA CRISTINA A. CANLAS ____________,2020

10. Accomplishment Report SY 2019-2020 MARIA CRISTINA A. CANLAS ____________,2020

11. SBM Documents MARIA CRISTINA A. CANLAS ____________,2020

12. School Canteen CRISTINA VENTURA ____________,2020

13. LIS Updated MARIA CRISTINA A. CANLAS ____________,2020

14. Students Portfolio HEAD TEACHER ____________,2020

It is my intention to stay in the service/transfer to another district/resign this coming

school year. ( In case of the latter, attached the corresponding letter in quadruplicate).
Until _______________, 2020 or further notice, my mailing address will be
_______________________________________, __________________________, Nueva Ecija.
Very truly yours,
____________________________
Signature of Teacher over Printed Name
Recommending Approval:

MARIA CRISTINA A. CANLAS MARY FINELA M. BAYAN, PhD REYNALDO S. REYES

OIC- Asst. Principal School Principal IV EPS I/Area Monitoring Supervisor

APPROVED:

JESSIE D. FERRER, CESO V

Schools Division Superintendent
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