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Division Clearance Form 7

Deped Misamis Occidental Clearance form &

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ailene banuelos
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12 views

Division Clearance Form 7

Deped Misamis Occidental Clearance form &

Uploaded by

ailene banuelos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CS Form No.

7
Seriesofof2017
Series 2017
Agency Name
CLEARANCE FORM
(Instructions at the back)

I PURPOSE

Date of Application
TO: DepEd, Division of Misamis Occidental
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose:  Transfer  Resignation  Other Mode of Separation:
 Retirement  Leave Please specify: __________________________
Effectivity/Inclusive Period: __________________________________________________________

Office of Assignment: ____________________________


______________________________________
Position/SG/Step: ____________________________ Name and Signature of Employee
II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES
We hereby certify that this applicant is cleared of work-related accountabilities from this Unit/Office/Dept.

_______________________________ REYNALDO E. MANUEL, JR., PhD, CESO V


Immediate Supervisor Head of Office
III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES
Not
Name of Unit/Office/Department Cleared Cleared Name of Clearing Officer/Official Signature
1. Administration Sector
a. Supply and Property Procurement and
Management Services ALBERTO C. PANTO, JR.

b. Human Resource Welfare & Assistance ELMA CEZARIE Y. ROMERO

c. Administrative Office JOHNNY M. BELOY

d. Agency-accredited Union/Cooperative TERESITA D. ARANAS


2. Library
a. Legal Office Library and Library Services VILMA M. INSO

3. Finance and Assets Management


a. Financial Services and Transaction, Processing
& Billing Services ROBERTO L. TORRES, CPA

c. Payroll & Remittance Services DEXTER I. PALAO


4. Professional and Institutional Development

a. Scholarship Services QUEENIE DARRAH S. TAÑAMOR


IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:

a. Internal Affairs Office/Legal Affairs Office ATTY. DEEBY C. PORTACION


with pending administrative case
with ongoing investigation (no formal charge yet)

V CERTIFICATION

- Employee copy
- Copy for payroll/Voucher REYNALDO E. MANUEL, JR., PhD, CESO V
- Copy for HR Unit
- Copy for Accounting/Auditing Schools Division Superintendent
Signature over Printed Name of Agency Head
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