Republic of Philippines

Department of Education
Region VI-Western Visayas
Division of Negros Occidental
CAUAYAN NATIONAL HIGH SCHOOL
Brgy. Poblacion, Cauayan, Negros Occidental
CLEARANCE
To whom it may concern,

This is to certify that _____________________________________ of _____________________ is cleared

Last Name, First Name M.I. Grade and Section
of activity, projects, reports, and accountabilities for School Year 2018 – 2019.

SUBJECT NAME OF TEACHER TEACHER’S SIGNATURE

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

____________________________ __________________________________ _______________________

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________________________________ _______________________________
Adviser Adviser
(PTA Contribution) (Classroom Properties)

JOCELYN D. HUALDE MARY ANN O. ALONZO

SSG Adviser YES-O Adviser

JIM-OWEN H. REQUINTO
CAT Commandant

__________________________
Adviser
Noted by:

CYNTHIA Z. DELUSO
Senior High School Coordinator
Approved by:

VANESSA DAWN C. FEGIDERO

Principal I
 Republic of Philippines
Department of Education
Region VI-Western Visayas
Division of Negros Occidental
CAUAYAN NATIONAL HIGH SCHOOL
Brgy. Poblacion, Cauayan, Negros Occidental

CLEARANCE
To whom it may concern,

This is to certify that _____________________________________ of _____________________ is

Last Name, First Name M.I. Grade and Section

cleared of activity, projects, reports, and accountabilities for School Year 2018 – 2019.

SUBJECT NAME OF TEACHER TEACHER’S SIGNATURE

21st Century Literature

Introduction to Philosophy
Media and Information Literacy
Statistics and Probability
Physical Science (Chemistry)
PE and Health
English for Academic and
Professional Purposes
Filipino sa Piling Larangan
Practical Research 2
EIM

________________________________ _______________________________
Adviser Adviser
(PTA Contribution) (Classroom Properties)

JOCELYN D. HUALDE MARY ANN O. ALONZO

SSG Adviser YES-O Adviser

JIM-OWEN H. REQUINTO
Discipline Officer

__________________________
Adviser

Noted by:

CYNTHIA Z. DELUSO
Senior High School Coordinator

Approved by:

VANESSA DAWN C. FEGIDERO

Principal I
 Republic of Philippines
Department of Education
Region VI-Western Visayas
Division of Negros Occidental
CAUAYAN NATIONAL HIGH SCHOOL
Brgy. Poblacion, Cauayan, Negros Occidental

CLEARANCE
To whom it may concern,

This is to certify that _____________________________________ of _____________________ is

Last Name, First Name M.I. Grade and Section

cleared of activity, projects, reports, and accountabilities for School Year 2018 – 2019.

SUBJECT NAME OF TEACHER TEACHER’S SIGNATURE

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

_______________________ __________________________________ _______________________

________________________________ _______________________________
Adviser Adviser
(PTA Contribution) (Classroom Properties)

JOCELYN D. HUALDE MARY ANN O. ALONZO

SSG Adviser YES-O Adviser

JIM-OWEN H. REQUINTO
Discipline Officer

__________________________
Adviser

Noted by:

CYNTHIA Z. DELUSO
Senior High School Coordinator

Approved by:

VANESSA DAWN C. FEGIDERO

Principal I