Professional Documents
Culture Documents
7
Series of 2017
DEPARTMENT OF EDUCATION
CLEARANCE FORM
(Instructions at the back)
I PURPOSE:
Date of Application
TO: DEPARTMENT OF EDUCATION-DIVISION OF DAVAO DE ORO
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: £ Transfer £ Resignation £ Other Mode of Separation:
£ Retirement £ Leave Please specify: __________________________
Effectivity/Inclusive Period: ______________________________________________
a.
Supply and Property Procurement and MARION A. ESPENOZA
Management Services Administrative Officer IV/Division Supply Officer
LUZ E. COMONAL
b. Human Resource Welfare & Assistance Administrative Officer IV/Division HRMO
TEOFANIÑA J. ROXAS
DepEd NEU Treasurer
c. Agency-accredited Union/Cooperative (For Non-Teaching Only)
2. Library
LEAH L. BARUIZ
b. Library Services Librarian II
RANDY C. CAÑEDA
c. Payroll & Remittance Services Administrative Officer IV/Division Cashier
4. Professional and Institutional Development
V CERTIFICATION
2. This clearance should be duly accomplished before paying the last salary or
any money due the employees. (Specify which type of clearance: maternity
leave, retirement, transfer, etc.)
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