ARELLANO UNIVERSITY

ANDRES BONIFACIO CAMPUS

SENIOR HIGH SCHOOL DEPARTMENT

CLEARANCE SLIP

I, ____________________________, from Grade 11 (Strand) _________ (Section) ____ was cleared on the
following subjects below:
SUBJECT SUBJECT TEACHER SIGNATURE

1.

2.

3.

4.

5.

6.

7.

8.

9.

I am also cleared in the following offices:

OFFICES NAME OF HEAD/S SIGNATURE

ADVISER

STRAND COORDINATOR

GRADE LEVEL COORDINATOR Mr. JEREMIAH ORTOJAN, LPT

GUIDANCE OFFICE Ms. ANJANETT S. BUENAVENTURA, LPT

Mr. RONALD BAUTISTA JR., RCrim

PREFECT OF DISCIPLINE
Mr. RODOLFO B. BERNAL, RCrim

LIBRARY OFFICE Ms. SALVE B. ALBIS, RL

REGISTRAR’S OFFICE Ms. IDA R. ELIAB

PRINCIPAL’S OFFICE Ms. VALERIE ANNE C. MIRANDA, LPT, MAE

SIGNATURE OVER PRINTED NAME OF STUDENT