Beruflich Dokumente
Kultur Dokumente
TEACHER’S CLEARANCE
1. Book rentals turned over to 10. DECS Form 137-E fully accomplished
_________N/A______________ and filed ______ _N/A____________
2. Sales of books turned over to 11. DECS Form 138-E _______N/A___________
__________N/A______________ 12. TELOC Filed _________ N/A___________
3. Sales of books turned over to 13. Income Tax Clearance ____N/A___________
__________N/A_____________ 14. Circular, Memo, Bulletins are bounded
4. AUTHORIZED VOLUNTARY CONTRIBUTION and filed ________N/A_________________
Name Amount 15. Special Reports ___SUBMITTED__________
a. BSP ____________ P _______________ 16. School ground enclosed with animals
b. GSP ___________ P _______________ proof fence and gates ____N/A____________
c. Senior RC _______ P _______________ 17. Registration _________ _N/A____________
d. Junior RC _______ P _______________ 18. Is the main gate provided with
5. All school property issued and returned to pergola? _________YES_______________
_ DANILO A. PORTILLO_________ 19. Leave? ________ _NO_______________
6. Money accountability paid to 20. Transfer? _______ NO________________
_____ARLYN C. SOLOMON___________ 21. Water and sealed toilet _____N/A__________
7. Are school building safe and locked 22. Professional magazine _____N/A__________
during vacation? ______YES _____ 23. PPSTA ______________ _N/A__________
8. Form Nos. 18-E, 1 & 2 ____SUBMITTED 24. Professional books ________N/A__________
9. Lesson Plans ________ COMPLETED_________ 25. SPSTA ______________ N/A__________
DOROTEO T. GALAVIA
PRINCIPAL 111
Ist Indorsement
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
Respectfully forwarded to the Schools Division Superintendent, Dapa, Surigao del Norte, the first day of
service of this teacher in the school was on _____________________ and her/his last day of service on
_____________________. He/she has days of absence without pay. Complete conditional clearance is granted. This
teacher is entitled to 60 days proportional pay.
If complete clearance can not be granted give reason above. The last salary should not be paid until the
auditor has fully audited all accounts to date.
DOROTEO T. GALAVIA
PRINCIPAL 111
Department of Education
CARAGA Administrative Region
Division of Siargao
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
TEACHER’S CLEARANCE
1. Book rentals turned over to 10. DECS Form 137-E fully accomplished
_________N/A______________ and filed ______ _N/A____________
2. Sales of books turned over to 11. DECS Form 138-E _______N/A___________
__________N/A______________ 12. TELOC Filed _________ N/A___________
3. Sales of books turned over to 13. Income Tax Clearance ____N/A___________
__________N/A_____________ 14. Circular, Memo, Bulletins are bounded
4. AUTHORIZED VOLUNTARY CONTRIBUTION and filed ________N/A_________________
Name Amount 15. Special Reports ___SUBMITTED__________
a. BSP ____________ P _______________ 16. School ground enclosed with animals
b. GSP ___________ P _______________ proof fence and gates ____N/A____________
c. Senior RC _______ P _______________ 17. Registration _________ _N/A____________
d. Junior RC _______ P _______________ 18. Is the main gate provided with
5. All school property issued and returned to pergola? _________YES_______________
_ DANILO A. PORTILLO_________ 19. Leave? ________ _NO_________________
6. Money accountability paid to 20. Transfer? _______ NO_________________
_____ARLYN C. SOLOMON___________ 21. Water and sealed toilet _____N/A__________
7. Are school building safe and locked 22. Professional magazine _____N/A__________
during vacation? ______YES _____ 23. PPSTA ______________ _N/A__________
8. Form Nos. 18-E, 1 & 2 ____SUBMITTED 24. Professional books ________N/A__________
9. Lesson Plans ________ COMPLETED_________ 25. SPSTA ______________ N/A__________
DOROTEO T. GALAVIA
PRINCIPAL 111
Ist Indorsement
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
Respectfully forwarded to the Schools Division Superintendent, Dapa, Surigao del Norte, the first day of
service of this teacher in the school was on _____________________ and her/his last day of service on
_____________________. He/she has days of absence without pay. Complete conditional clearance is granted. This
teacher is entitled to 60 days proportional pay.
If complete clearance can not be granted give reason above. The last salary should not be paid until the
auditor has fully audited all accounts to date.
DOROTEO T. GALAVIA
PRINCIPAL 111
CARAGA Administrative Region
Division of Siargao
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
TEACHER’S CLEARANCE
1. Book rentals turned over to 10. DECS Form 137-E fully accomplished
_________N/A______________ and filed ______ _N/A____________
2. Sales of books turned over to 11. DECS Form 138-E _______N/A___________
__________N/A______________ 12. TELOC Filed _________ N/A___________
3. Sales of books turned over to 13. Income Tax Clearance ____N/A___________
__________N/A_____________ 14. Circular, Memo, Bulletins are bounded
4. AUTHORIZED VOLUNTARY CONTRIBUTION and filed ________N/A_________________
Name Amount 15. Special Reports ___SUBMITTED__________
a. BSP ____________ P _______________ 16. School ground enclosed with animals
b. GSP ___________ P _______________ proof fence and gates ____N/A____________
c. Senior RC _______ P _______________ 17. Registration _________ _N/A____________
d. Junior RC _______ P _______________ 18. Is the main gate provided with
5. All school property issued and returned to pergola? _________YES_______________
_ DANILO A. PORTILLO_________ 19. Leave? ________ _NO_________________
6. Money accountability paid to 20. Transfer? _______ NO_________________
_____ARLYN C. SOLOMON___________ 21. Water and sealed toilet _____N/A__________
7. Are school building safe and locked 22. Professional magazine _____N/A__________
during vacation? ______YES _____ 23. PPSTA ______________ _N/A__________
8. Form Nos. 18-E, 1 & 2 ____SUBMITTED 24. Professional books ________N/A__________
9. Lesson Plans ________ COMPLETED_________ 25. SPSTA ______________ N/A__________
DOROTEO T. GALAVIA
PRINCIPAL 111
Ist Indorsement
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
Respectfully forwarded to the Schools Division Superintendent, Dapa, Surigao del Norte, the first day of
service of this teacher in the school was on _____________________ and her/his last day of service on
_____________________. He/she has days of absence without pay. Complete conditional clearance is granted. This
teacher is entitled to 60 days proportional pay.
If complete clearance can not be granted give reason above. The last salary should not be paid until the
auditor has fully audited all accounts to date.
DOROTEO T. GALAVIA
PRINCIPAL 111
CARAGA Administrative Region
Division of Siargao
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
TEACHER’S CLEARANCE
1. Book rentals turned over to 10. DECS Form 137-E fully accomplished
_________N/A______________ and filed ______ _N/A____________
2. Sales of books turned over to 11. DECS Form 138-E _______N/A___________
__________N/A______________ 12. TELOC Filed _________ N/A___________
3. Sales of books turned over to 13. Income Tax Clearance ____N/A___________
__________N/A_____________ 14. Circular, Memo, Bulletins are bounded
4. AUTHORIZED VOLUNTARY CONTRIBUTION and filed ________N/A_________________
Name Amount 15. Special Reports ___SUBMITTED__________
a. BSP ____________ P _______________ 16. School ground enclosed with animals
b. GSP ___________ P _______________ proof fence and gates ____N/A____________
c. Senior RC _______ P _______________ 17. Registration _________ _N/A____________
d. Junior RC _______ P _______________ 18. Is the main gate provided with
5. All school property issued and returned to pergola? _________YES_______________
_ DANILO A. PORTILLO_________ 19. Leave? ________ _NO_________________
6. Money accountability paid to 20. Transfer? _______ NO_________________
_____ARLYN C. SOLOMON___________ 21. Water and sealed toilet _____N/A__________
7. Are school building safe and locked 22. Professional magazine _____N/A__________
during vacation? ______YES _____ 23. PPSTA ______________ _N/A__________
8. Form Nos. 18-E, 1 & 2 ____SUBMITTED 24. Professional books ________N/A__________
9. Lesson Plans ________ COMPLETED_________ 25. SPSTA ______________ N/A__________
DOROTEO T. GALAVIA
PRINCIPAL 111
Ist Indorsement
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
Respectfully forwarded to the Schools Division Superintendent, Dapa, Surigao del Norte, the first day of
service of this teacher in the school was on _____________________ and her/his last day of service on
_____________________. He/she has days of absence without pay. Complete conditional clearance is granted. This
teacher is entitled to 60 days proportional pay.
If complete clearance can not be granted give reason above. The last salary should not be paid until the
auditor has fully audited all accounts to date.
DOROTEO T. GALAVIA
PRINCIPAL 111
TEACHER’S CLEARANCE
1. Book rentals turned over to 10. DECS Form 137-E fully accomplished
_________N/A______________ and filed ______ _N/A____________
2. Sales of books turned over to 11. DECS Form 138-E _______N/A___________
__________N/A______________ 12. TELOC Filed _________ N/A___________
3. Sales of books turned over to 13. Income Tax Clearance ____N/A___________
__________N/A_____________ 14. Circular, Memo, Bulletins are bounded
4. AUTHORIZED VOLUNTARY CONTRIBUTION and filed ________N/A_________________
Name Amount 15. Special Reports ___SUBMITTED__________
a. BSP ____________ P _______________ 16. School ground enclosed with animals
b. GSP ___________ P _______________ proof fence and gates ____N/A____________
c. Senior RC _______ P _______________ 17. Registration _________ _N/A____________
d. Junior RC _______ P _______________ 18. Is the main gate provided with
5. All school property issued and returned to pergola? _________YES_______________
_ DANILO A. PORTILLO_________ 19. Leave? ________ _NO_________________
6. Money accountability paid to 20. Transfer? _______ NO_________________
_____ARLYN C. SOLOMON___________ 21. Water and sealed toilet _____N/A__________
7. Are school building safe and locked 22. Professional magazine _____N/A__________
during vacation? ______YES _____ 23. PPSTA ______________ _N/A__________
8. Form Nos. 18-E, 1 & 2 ____SUBMITTED 24. Professional books ________N/A__________
9. Lesson Plans ________ COMPLETED_________ 25. SPSTA ______________ N/A__________
DOROTEO T. GALAVIA
PRINCIPAL 111
Ist Indorsement
SOCORRO NATIONAL HIGH SCHOOL
Socorro, Surigao del Norte
Respectfully forwarded to the Schools Division Superintendent, Dapa, Surigao del Norte, the first day of
service of this teacher in the school was on _____________________ and her/his last day of service on
_____________________. He/she has days of absence without pay. Complete conditional clearance is granted. This
teacher is entitled to 60 days proportional pay.
If complete clearance can not be granted give reason above. The last salary should not be paid until the
auditor has fully audited all accounts to date.
DOROTEO T. GALAVIA
PRINCIPAL 111