OSMEÑA COLLEGES

City of Masbate SCHOOL COPY

Tel./Fax. (056) 333-4444
E-Mail Address: osmenacolleges@yahoo.com.ph

CLEARANCE
This is to certify that Mr./Miss/Mrs. __________________________________________ has been
cleared from the following:

1. Grading Sheets
2. Form 138 7. Students PSA/NSO Birth Certificate
3. School Form 1 8. Students Form 137-A
4. School Form 2 (June-April) 9. 201 Files
5. School Form 5 10. Performance Rating
6. Accomplishment Report (June-March) 11. Resource Materials/Textbooks

CRISTY D. ANIEL CYNARD G. ESPILOY RAUL H. ZURBITO JERIC TORRES

Records In Charge K to 12 Secretariat Software Engineer School Property Custodian

DYNA
AGNESM. PADILLA
P. FABON ROSARIO C. JERUTA JERIC E. CABUG ROQUESA F. DAEP
CC CHAIRMAN
Accounting Head Bookkeeper Principal K to 12 Headmaster

OSMEÑA COLLEGES
City of Masbate TEACHER’S COPY
Tel./Fax. (056) 333-4444
E-Mail Address: osmenacolleges@yahoo.com.ph

CLEARANCE
This is to certify that Mr./Miss/Mrs. __________________________________________ has been
cleared from the following:

1. Grading Sheets
2. Form 138 7. Students PSA/NSO Birth Certificate
3. School Form 1 8. Students Form 137-A
4. School Form 2 (June-April) 9. 201 Files
5. School Form 5 10. Performance Rating
6. Accomplishment Report (June-March) 11. Resource Materials/Textbook

DYNA M. PADILLA
CC CHAIRMAN

JERIC TORRES
CRISTY D. ANIEL CYNARD G. ESPILOY RAUL H. ZURBITO School Property Custodian
Records In Charge K to 12 Secretariat Software Engineer
AGNES P. FABON ROSARIO C. JERUTA JERIC E. CABUG ROQUESA F. DAEP
Accounting Head Bookkeeper Principal K to 12 Headmaster