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Enclosure to Division Memo No.___, s.

2022

Republic of the Philippines


Department of Education
Region X – Northern Mindanao
SCHOOLS DIVISION OF LANAO DEL NORTE

YEAR-END CLEARANCE FOR ASATIDZ UNDER CONTRACT OF SERVICE


AS BASIS FOR THE RENEWAL OF CONTRACT FOR F.Y. 2023
REQUIREMENTS Date Checked Checked by

Requirements to be submitted to
the ALIVE District Lead School Head (Composite) : PERFORMANCE PORTFOLIO
a. School Form 1 (Official List of Learners for ALIVE)
b. Total Number of tagged Learners in the LIS (Screenshot from LIS)
c. Certificate of Appearance for Asatidz
d. Grading Sheets for Arabic Language
e. Grading Sheets for Islamic Values Education
f. ALIVE Class record
g. IQRA Narrative Report
h. Pre-ARAT Result (ARAR and AORAF)
i. Test materials and results for Summative Exams/Performance Tasks/
Diagnostic Test
j. Test material for First Quarter Exam
k. Annual Accomplishment Report from January 2022 to November 2022
Requirements to be submitted to the
Date Checked Checked by
MEP Focal Persons: CLEARANCE PORTFOLIO
a. Letter of intent for renewal
b. Inventory of Gadgets (Returned Mobile Phones, Laptops, Netbooks, Tablets,
Radios)
c. Accomplishment Report for District Coordinators
d. Performance rating (COT-RPMS)
e. Accomplished COS (Contact of Service)
f. Accomplished PDS (Form 212 Revised 2017)
Requirements to be submitted to the
Date Submitted Received by
Division ALIVE Coordinator for Division’s final action
a. Notarized COS

Prepared by: ____________________________


ALIVE Teacher
Cleared by: _________________________
School Head

Gov. A. QuibranzaProv’I Gov’t Compound


Pigcarangan, Tubod, Lanao del Norte
(063) 227 – 6633 (063) 341 – 5109
lanao.norte@deped.gov.ph

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