Republic of the Philippines

Department of Education
MIMAROPA Region
Schools Division of Palawan
Quezon Northern District
KALATAGBAK ELEMENTARY SCHOOL

February 02, 2024

Date

TEACHER'S CLEARANCE

MYRA G. PACIONES
Teacher-in-Charge
KALATAGBAK ELEMENTARY SCHOOL

MADAM,
I have the honor to inform your good office that I have satisfactorily submitted/complied all
required reports and accounted for all money and property for which I am responsible and duly
attested by the official signatures as shown below:

PARTICULARS Checked and Received by

A. School Form 1-School Register
B. School Form 2-Daily Attendance
C. School Form 3-Books Issued and Returned
D. School Form 4-Monthly Movement of Attendance
E. School Form 5-Report on Promotion and Learning
Progress
F. School Form 6- Summarized Report on Promotion
and Learning Progress & Achievement
G. School Form 7-School Personnel Basic Profile and
Assignment
H. School Form 8- Health and Nutrition
Record/Nutritional Status
I. School Form 9-Learner’s Progress Report Card
J. School Form 10-Premanent Record
K. Birth Certificates/ Brgy. Birth Certifications
L. Class Records/ 1st and 2nd Quarter
M. Hard Drive
N. Daily Lesson Logs
O. Reporting Day Attendance/Log
P. Copy of COT (1st and 2nd Quarter)
Q. Financial Obligations Teachers’ Club Dues
R. DTR for the Month of January 2024
S. Statement of Assets and Liabilities and Net worth
(SALN as of December 2023)
T. Accomplishment Report for the Month of January
2024
U. LIS
V. Inventory of Classroom Properties
W. Classroom Keys

KALATAGBAK ELEMENTARY SCHOOL

Quezon Northern District
Quezon, Palawan 09758532426
111104@deped.gov.ph KALATAGBAK
ES
 Very Truly Yours,

FEBI D. TREYES-GACITA
Teacher I
---------------------------------------------------------------------------------------------------------------------------

CERTIFICATION
We, hereby certify that MRS. FEBI D. TREYES-GACITA has been cleared/complied all
the reports, money and property accountabilities from this institution, Kalatagbak Elementary School.

Furthermore, she has no other obligations that may hinder her transfer from Kalatagbak
Elementary School to Lamane Elementary School.

This certification is being issued to MRS. FEBI D. TREYES-GACITA in relation to her

transfer of school station.

Given this 2nd day of February, 2024 at Kalatagbak Elementary School, Poblacion,
Kalatagbak, Quezon, Palawan.

Signed,

PRINCESS ANNE F. CABUDAC ERENIO H. BITOREN

School ICT Coordinator School Property Custodian

Approved:

MYRA G. PACIONES
Teacher-in-charge

KALATAGBAK ELEMENTARY SCHOOL

Quezon Northern District
Quezon, Palawan 09758532426
111104@deped.gov.ph KALATAGBAK
ES