CLEARANCE

This is to certify that _________________ assigned to ______________________

and whose last day of employment becomes effective _____________ has completed all the
requirements relative thereto.

This is evidenced by the signatures and affirmations of the following:

Department ACCOUNTABILITIES
DATE NAME OF APPROVING RECORDS/ DOCUMENTS FINANCIAL
OFFICER

Executive Office
Finance Department
HR and Administration Department

Remarks:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

_______________________
HR Department

_______________________
Date

Released by: ______________________

Date Released: ______________________
Received By: ______________________