Republic of the Philippines

Department of Education
REGION VII-CENTRAL VISAYAS
SCHOOLS DIVISION OF BAYAWAN CITY

Office of the Schools Division

Superintendent

YEAR-END TEACHER’S CLEARANCE

SY 2022-2023
August 25, 2023

I, ___________________________________residing ___________________________________have
been cleared of all money and property accountabilities for which I am responsible and accountable at
Bahi-an Elementary School District 10 for the SY 2022-2023, and that all reports required of me have been
submitted and checked accordingly as indicated below:
No. SIGNATURE
ITEMS CHECKED BY/IN-CHARGE Date
1 School Form 1-School Register MRS. CATHERINE MAE R. RENSAL
2 School Form 2- Daily Attendance MRS. CATHERINE MAE R. RENSA
3 Grading Sheets
4 School Form 5-Report on Promotion
and Level of Profiency
5 Deped Form 137
6 Deped Form 138
7 Updated PRC ID
8 Performance Rating
9 Classroom Inventory and room safety
-Room keys
-Books
-Equipment
-Furniture
10 FORM 86(Medical Examination)
Chest X-Ray, Urine, Blood Test
11 Dental Examination
12 Nutritional Status
13 Library
a. Borrowed Books
b. Borrowed Materials
14 Guidance Form
15 ICT Equipment Report
16 SALN

CYNTHIA G. BORROMEO
Teacher
MARCELA L. SEDILLO
School Head
DODIE A. TORNO
School Property Custodian
LOURINA L. BASILIO
Head Teacher I

NOTE :
If later on an employee who has been cleared is diclosed that he/she is accountable to
Cash or property, this clearance will not relieve him/her of said accountability.
GAO Circular No. 52 dated December 23, 1957.