STUDENT’S CLEARANCE FORM

Institute of Management and Accountancy

NAME: ____________________________________ YEAR/GRADE LEVEL: ______

FINAL TEACHER’S
SUBJECT DATE
GRADE SIGNATURE
Financial Accounting and Reporting
Mathematics in the Modern World
Purposive Communication
Science, Technology and Society
Ethics
Rizal’s Life and Works
NSTP - CWTS
PE 1 (PATH FIT)

STAFF’S
OFFICE REMARKS DATE
SIGNATURE
Cashier
Canteen
Library
Guidance
Clinic
Homeroom President
House Governor
House President
Registrar
Security

Note: Please comply this clearance form in requirement for your enrolment next semester. Strictly, no
clearance form, no enrolment.

Received by: ______________________

Date: ____________________________