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St. Camillus College of Manaoag Foundation, Inc.

Brgy. Licsi Manaoag Pangasinan

TEACHER’S CLEARANCE
(Note: This is to be accomplished at the end of every semester)

Name of Instructor: ________________________________________

Subject : ________________________________________

Schedule : ________________________________________

1. Library Books / Materials ________________________________________


2. Course Syllabus ________________________________________
3. Grading Sheets ________________________________________
4. Student Class Cards ________________________________________
5. Laboratory ________________________________________
6. Finance Account ________________________________________

Certified Correct: Approved:

ADELINA D. CARAGAN, MASE NORBERTO N. FERRER


Director of Studies/ Principal College Dean

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Do you intend to teach at SCCM this coming semester? Pls. Check

_________ Yes __________ No

______________________________
Signature over Printed Name

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