DEPARTMENT OF EDUCATION

Region VII, Central Visayas

Division of Cebu
DISTRICT OF SANTA FE

TEACHER'S CLEARANCE
TO Whom it May Concern:
This is to certify that __________________________ of ______________________
________________________________
Name of Teacher Name of School
Santa Fe, District,Santa Fe, Cebu is cleared of money / property / responsibility for the School
Year 2022-2023 and that a COMPLETE CLEARANCE is hereby granted this____day of July,______

RECEIVED BY SIGNATURE DATE

DESCRIPTION
DESIGNATION NAME
SF 1, SF 2, SF 3 SF 5 ,FORM 137 , FORM
138 , CLASS RECORD , GRADE SHEET ,
SCHOOL GUIDANCE
GUIDANCE FORMS , TEST RESULT Q1-
4,ORV RESULTS Q1-4

CLINIC RECORDS ,FORM 86(SIGNED BY

THE PHYSICIAN),NUTRITIONAL STATUS
WITH 4PS RECIPIENTS,PUPILS HEALTH
RECORDS, DEWORMING
CLINIC TEACHER
SCHOOL BASED FEEDING PROGRAM
SBFP SCHOOL
INCLUDING TERMINAL AND
COORDINATOR
CONSOLIDATED REPORTS

RPMS, ACCOMPLISHMENT REPORTS AND

OTHER ATTACHMENTS/MOV's( as reflected
in RPMS Form) SCHOOL HEAD

KINDER REPORTS /ECCD

ACCOMPLISHMENTS

M & E DISTRICT
M & E REPORTS ( 1-4TH QUARTER) COORDINATOR
SCHOOL PROPERTY
PROPERTY INVENTORY REPORTS REPORTS

COMMUNITY TAX CERTIFICATE NO._______________Place Issued:________Date Issued __________

MILA S. HORTELANO FLORIE MAE V. AGUIPO

District Property Custodian District Guidance

____________________________
Division Nurse

MARIBETH B. FERNANDEZ BRENDA M. RAYCO

Division Health Personnel District Treasurer

______________________ __________________________
School Head Teacher's Name and Signature
ANNABELLE S. ALOB,Ph.D.
District Supervisor