Republic of the Philippines

Department of Education
Region X
Division of Gingoog City
South 2 District
MANUEL LUGOD CENTRAL SCHOOL
Brgy. 10, Gingoog City
SY 2023-2024

STUDENT TEACHER’S CLEARANCE

Date:_________________

TO WHOM IT MAY CONCERN:

This is to certify that ___________________________________, a student

teacher from GINGOOG CHRISTIAN COLLEGE is cleared of all financial,
Instructional Material and other requirements.

Herein testify that the name stated above is free and accomplished all
obligation required and obeyed the school regulations properly.

PERIOD OF NAME OF MENTOR DATE SIGNATURE

SHIFTING
1st Shift

2nd Shift

3rd Shift

MARJORIE C. OBLIG SOFIA CALIBO

Master Teacher I Master Teacher II

MINERVA B. MONTECALVO JENNIFER BUNGALON

Assisting Principal I Master Teacher I

CLINTON F. BADILLA
School Principal III

EVELYN M. SUMASTRE
Supervising Instructor