Professional Documents
Culture Documents
Department of Education
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
TINAMBAC SOUTH DISTRICT
TINAMBAC SOUTH CENTRAL SCHOOL II
113152
January 18, 20121
CERTIFICATION
c. Date of Payment
____________________________________________________
d. Purpose of Clearance _____________Leave_____________________________
(Retirement, Transfer, Resignation,Promotion etc.)
e. Other Information:
Transfer to what School?
Address: _________________________________________________________
Other matters settled, etc. ___________________________________________
JACQUILYN B. CONSULTA
(Name and signature of person seeking clearance)