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Republic of the Philippines

Department of Education
Region VII, Central Visayas
SCHOOLS DIVISION OF NEGROS ORIENTAL
www.depednegor.net
TAYASAN DISTRICT 2
Poblacion, Tayasan, Negros Oriental

July 18, 2022

To Whom It May Concern:

I would like to apply for complete clearance after having complied all the needed
reports/accountabilities required of me for School Year 2021-2022.

Name of Report Date Personnel In-charge Signature of the


Submitted School Administrator
or Authorized Person
Mrs. Genros R. Barrera
Form 86(X-ray,
CBC,Urinalysis, Oral
Exam.)
Mr. Fritz T. Balasabas/
School Forms Mrs. Estrellita
(Elem./Junior HS/Senior Sanchez/Mrs. Jedah
HS) Bromo
Mrs. Lorena C. Silvosa
Updated 201 File
Updated Inventory of Mr. Francis B. Baoayan
Textbooks and other Jr.
Properties with ICS

IPCRF (with Summary per Mr Jayson L. Angel.


school in soft copy)
ICT Concerns Mr. Clidford Calijan

School Funds School Treasurer

Death Aid Dr.. Anita M. Dayapan

Very truly yours,

___________________________________
(Printed Name of Teacher with Signature)

Complete clearance is granted.

____________________________
School Head

LEONIVEL L. SECUSANA
District Supervisor

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