Republic of the Philippines

Department of Education

Region VI - Western Visayas

Schools ivision of Iloilo

SCHOOLS DISTRICT OF DINGLE

The Schools District Supervisor

Schools District of Dingle

CLEARANCE
S.Y 2018-2019
Dingle, Iloilo

Madam:

NAME OF REPORTS/ DATE

IN-CHARGE SIGNATURE
This is to certify that I have submitted all reports required ofSUBMITTED
ACCOUNTABILITIES me with dates indicated below and that I accounted for the
following:
1 ACCOMPLISHMENT REPORT BRENDO S. MONDIA

A. PERFORMANCE INDICATOR (Complete)

2 B. Summarize on Promotions (Form 20) JOEBERT C. DABUCO

C. SBM VALIDATION FORM

3 PPST JOEBERT C. DABUCO /

4 SF-4, SF-5, SF-6, SFCR1, SFCR2 NOREEN JOY S. DELA ROSA

5 RPMS (IPCRF/OPCRF) EDNA L. TANQUERIDO

INVENTORY OF TEXTBOOKS, MANUALS, FCD Materials,

6 JASMIN M. DONASCO
Buildings etc.

7 Unsigned Payrolls JASMIN M. DONASCO

8 Unreturned District Properties JASMIN M. DONASCO

9 SBFP COLEEN M. ANOTA

10 MOOE COLEEN M. ANITA

11 Perpetual Inventory (H.E / Nutrition) SNETHCIE D. ANG LEE

12 Finacial Ascpects

EMILYN D. ESCAMILLA/
A. DDPSTA
GAYFLOR V. DUEÑAS

B. Boy Scout NICASIO M. DADUYA JR.

C. Girll Scout APRIL JOY D. ACOSTA

D. Jr. & Sr. Red Cross & Anti-TB ROMELA I. PORTAL

Very truly yours, NICASIO
E. D’DASH SNETHCIE D.M.
ANGDADUYA
LEE

PHOTOCOPY OF APPOINTMENT( from First Day of

13 ELENORA D. BATAGA
Service to present) _______________________________

FUND CAMPAIGN (DSWD: PhilippinE Assistance for the (Signature Over Printed Name)
14 COLEEN M. ANOTA
Hydrocepalus Victims, Inc.)
BRENDO S. MONDIA
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This is to certify that theabove mentioned teacher has been cleared of all money and property responsibilities and is
given this CLEARANCE this __________ day of _____________ 2018.

______________________________

Principal/Head Teacher