Republic of the Philippines

Department of Education
Region III
Schools Division Office of Bataan
MARIVELES NATIONAL HIGH SCHOOL-CABCABEN ANNEX (ALION)
Alion,Mariveles, Bataan

TEACHER’S CLEARANCE

(enter “Not Required” on the blanks opposite each item below of Form, Money, & property and / or Tax Clearance and other
matters are not required of you to report.)

____________
Date
The Provincial Schools Superintendent
Balanga City, Bataan

Madam:

I have the honor to advice that I have satisfactorily and accurately accounted for all money and property for
which I am responsible to the Division and that all forms and report required of me were submitted as the dates shown
below:

1. School Form 6 (SF6) __________________ 8. Registration _______________

2. CSC Form 48 __________________ 9. Leaving for abroad _______________
3. BPS Form 137- A fully __________________ 10. Leaving for where in the Phil.________
Accomplished and filled _________________________________
4. BPS Form 138-A __________________ 11. Transferring to where _____________
5. Municipal Money and Property BPS Form 133, in case of transfer should
Clearance _________________________ be accomplished & submitted upon rendering
6. Income and Clearance ___________________ first day of service in new status.
7. Special Reports ___________________

Chairman (Forms) ___________________ Accounting _______________

Faculty Treasurer ___________________ Property Custodian _______________

Clerk ___________________ Canteen Manager _______________

Coop. Treasurer ___________________ Others _______________

ABSENCES DURING LAST (3) MONTHS

Until ______________________, my mailing address will be at , ____________________________________

__________________________.

Very truly yours,

_________________________________
Name
MELINDA F. BARLIS _________________________________
HT III-OIC Signature
________________________________
Designation

Noted:

JESSIE D. FERRER, CESO V

Schools Division Superintendent
 Republic of the Philippines
Department of Education
Region III
Schools Division Office of Bataan
MARIVELES NATIONAL HIGH SCHOOL-CABCABEN ANNEX (ALION)
Alion,Mariveles, Bataan

State of the School Address

2016

MELINDA F. BARLIS
HT III-OIC