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    CSForm No. 7 Division Clearance Form-1

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    Shaira Banag-Molina
    This document is a clearance form used by the Department of Education to clear employees of work-related, money, and property accountabilities upon transfer, resignation, retirement, or other separation from service. The form has four sections: I) purpose of clearance; II) clearance from work-related accountabilities; III) clearance from money and property accountabilities across various department units; and IV) certification that the employee has no pending administrative cases. Upon verification that the employee has been cleared in all applicable areas, the Schools Division Superintendent signs the final certification.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    CSForm No. 7 Division Clearance Form-1

    Uploaded by

    Shaira Banag-Molina
    788 views1 page
    This document is a clearance form used by the Department of Education to clear employees of work-related, money, and property accountabilities upon transfer, resignation, retirement, or other separation from service. The form has four sections: I) purpose of clearance; II) clearance from work-related accountabilities; III) clearance from money and property accountabilities across various department units; and IV) certification that the employee has no pending administrative cases. Upon verification that the employee has been cleared in all applicable areas, the Schools Division Superintendent signs the final certification.

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    This document is a clearance form used by the Department of Education to clear employees of work-related, money, and property accountabilities upon transfer, resignation, retirement, or other separation from service. The form has four sections: I) purpose of clearance; II) clearance from work-related accountabilities; III) clearance from money and property accountabilities across various department units; and IV) certification that the employee has no pending administrative cases. Upon verification that the employee has been cleared in all applicable areas, the Schools Division Superintendent signs the final certification.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    788 views1 page

    CSForm No. 7 Division Clearance Form-1

    Uploaded by

    Shaira Banag-Molina
    This document is a clearance form used by the Department of Education to clear employees of work-related, money, and property accountabilities upon transfer, resignation, retirement, or other separation from service. The form has four sections: I) purpose of clearance; II) clearance from work-related accountabilities; III) clearance from money and property accountabilities across various department units; and IV) certification that the employee has no pending administrative cases. Upon verification that the employee has been cleared in all applicable areas, the Schools Division Superintendent signs the final certification.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    CS Form No.

    7
    Revised 2018

    DEPARTMENT OF EDUCATION
    CLEARANCE FORM
    (Instructions at the back)

    I PURPOSE
    Date of Filing
    TO: DEPARTMENT OF EDUCATION, DIVISION OF ANGELES CITY
    I hereby request clearance from money, property and work-related accountabilities for: Purpose:
     Transfer
    Resignation  Other Mode of Separation:
     Retirement  Leave Please specify:                                                      
    Date of Effectivity:                                                                                                                      

    Office of Assignment:                                                          


    Position/SG/Step:                                                          

    Name and Signature of Employee


    II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES
    We hereby certify that this employee is cleared / not cleared of work-related accountabilities from this Unit/Office/Dept.
    Immediate Supervisor Head of Office

    III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES


    Name of Unit/Office/Department Cleared Not Cleared Name of Clearing Officer/Official Signature

    1. Administrative Services

    a.
    Supply and Property Procurement and Management Services Armin M. Tayag

    b. Human Resource Welfare & Assistance Hazel A. Carbungco

    c. Agency-accredited Union/Cooperative

    2. Library

    a. Legal Office Library

    b. Library Services Dennis M. Bautista


    3. Finance and Assets Management ( Gay Y. Pangilinan )

    a. Financial Services Gay Y. Pangilinan

    b. Transaction, Processing & Billing Services Gay Y. Pangilinan

    c. Payroll & Remittance Services Gay Y. Pangilinan


    4. Professional and Institutional Development

    a. Scholarship Services

    IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:

    a. Internal Affairs Office/Legal Affairs Office Atty. Paul Nikon T. Alcayro


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

    V CERTIFICATION
    I hereby certify that this employee is cleared of work-related, money and property accountabilities from this agency. This certification includes no pending
    administrative case from this agency.

    MA. IRELYN P. TAMAYO, PhD, CESE


    Schools Division Superintendent

    Page 1 of 2

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