Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF PAMPANGA
MANGGA HIGH SCHOOL 306955
TEACHER’S CLEARANCE

The Schools Division Superintendent

City of San Fernando Pampanga
Sir,

I have the honor to inform you that I have satisfactorily accomplished all property and money
responsibilities, including the safety of classrooms or school buildings and submitted all items and
reports required to me on the date opposite the item.
Write the date if you are Concerned and Not Required, if not concerned.

FORMS
1. DepEd SF 1 (School Register) ________________
2. DepEd SF 2 (Learner’s Daily Attendance) ________________
3. DepEd SF 3 (Books Issued and Returned) ________________
4. DepEd SF 4 (Summary Enrollment and Movement of Learners) ________________
5. DepEd SF 5 (Report on Promotion) ________________
6. DepEd SF 6 (Summary Report on Promotion) ________________
7. DepEd SF 7 (Inventory of School Personnel) ________________
8. DepEd SF 8 (Learner Basic Health Profile) ________________
9. DepEd SF 9 (Learner Progress Report Card) ________________
10. DepEd SF 10 (Learner’s Permanent Academic Record) ________________
11. C. S. Form 6 (Leave of Absence) ________________
12. C. S. Form 48 (Time Record) ________________
13. LDM2 Portfolio ________________
14. RPMS/RPMS Portfolio ________________
15. Students’ Diploma (Grade 10 & 12 Adviser) ________________
16. Lesson Plan/DLL ________________
17. Weekly Home Learning Plan (WHLP) ________________
18. Annual Accomplishment Reports ________________

Financial Reports
1. Payment of lost books, tools, utensils,
equipments, and school properties ________________

Very truly yours,

________________________________
Print Name & Signature
Approved Recommended:

QUINCY E. VINUYA RIA B. PANGAN

Property Custodian School Treasurer

JERRY S. MANABAT
Principal I
Approved by:

ENGR. EDGARD C. DOMINGO, PhD, CESO V

Schools Division Superintendent

Address: Sitio 1, Mangga, Candaba, Pampanga

E-mail Address: manggahighschool@gmail.com