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CS FORM 7 Clearance

This document is a clearance form for an employee applying for separation from their position at the Benjamin Velasco Bautista Sr. National High School. It includes sections for the purpose of separation, clearance from work-related responsibilities which has been certified by the school head, clearance from money and property accountabilities which is certified by various clearing officers, and certification that there are no pending administrative cases against the employee. The form requires signatures from the employee and school head to verify the information.
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0% found this document useful (0 votes)
38 views

CS FORM 7 Clearance

This document is a clearance form for an employee applying for separation from their position at the Benjamin Velasco Bautista Sr. National High School. It includes sections for the purpose of separation, clearance from work-related responsibilities which has been certified by the school head, clearance from money and property accountabilities which is certified by various clearing officers, and certification that there are no pending administrative cases against the employee. The form requires signatures from the employee and school head to verify the information.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CS Form No.

7
Series of 2017

DEPARTMENT OF EDUCATION
CLEARANCE FORM

I PURPOSE

Date of Application
TO: DEPARTMENT OF EDUCATION
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: Transfer Resination Other Mode of Separation:
Retirement Leave Please specify: ______________

Effectivity/Inclusive Period: ________________________________________________________

BENJAMIN VELASCO BAUTISTA SR. NATIONAL HIGH


Office of Assignment: SCHOOL
_________________________________
Position/SG/Step: Name and Signature of Employee

II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES


I/We hereby certify that this applicant is cleared of all work-related accountabilities from this Unit/Office/Dept.

EUFEMIA C. CAMAHALAN
School Head
III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES
Name of Clearing Officer/Official
Name of Unit/Office/Department Cleared Not Cleared
1 Administration Sector

Supply and Property Procurement and a.


Management Services CARLO P. MAÑEGO

b. Human Resource Welfare & Assistance ARPEE MAE D. ALICARTE

c. Agency-accredited Union/Cooperative FORTUNATO D. CAMAHALAN


2 Classroom/Offices Properties

a. Classroom Properties SOLLY V. CAMEROS

b. Library Services LYZA MAE J. MATURAN


3 Finance and Assets Management

a. Financial Services LIRMA JOY R. ESCALANTE

Transaction, Processing & Billing b.


Services NEIL GRACE F. MARIANO

C. School Canteen JASMIN S. CAMPANER


4 Professional and Institutional Development

a. Scholarship Services
IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:
Internal Affairs Officer/Legal Affairs
a. Office

with pending administrative case

with ongoing investigation (no formal charge yet)


V CERTIFICATION

EUFEMIA C. CAMAHALAN
School Head
Date of Application

ode of Separation:
ecify: ______________

__________________
nature of Employee

C. CAMAHALAN
ool Head

Signature
CS Form No. 7
Series of 2017

DEPARTMENT OF EDUCATION
CLEARANCE FORM

I PURPOSE

Date of Application
TO: DEPARTMENT OF EDUCATION
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: Transfer Resination Other Mode of Separation:
Retirement Leave Please specify: ______________

Effectivity/Inclusive Period: ________________________________________________________

BENJAMIN VELASCO BAUTISTA SR. NATIONAL HIGH


Office of Assignment: SCHOOL
_________________________________
Position/SG/Step: Name and Signature of Employee

II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES


I/We hereby certify that this applicant is cleared of all work-related accountabilities from this Unit/Office/Dept.

EUFEMIA C. CAMAHALAN
School Head
III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES
Name of Clearing Officer/Official
Name of Unit/Office/Department Cleared Not Cleared
1 Administration Sector
RUDITO E. DOMINGO
Supply and Property Procurement and a. AO IV-SUPPLY
Management Services OFFICER
ELAINE HAZEL M. DONASCO
OIC-AO IV -
b. Human Resource Welfare & Assistance PERSONNEL SECTION

c. Agency-accredited Union/Cooperative N/A


2 Library

a. Legal Office Library N/A

b. Library Services N/A


3 Finance and Assets Management
QUEEN ANNE R. ALBOROTO, CPA
OIC
a. Financial Services ACCOUNTANT
QUEEN ANNE R. ALBOROTO, CPA
Transaction, Processing & Billing b. ADAS III/OIC
Services ACCOUNTANT
BERNIE L. OCTURA
c. Payroll & Remittance Services AO IV-CASHIER
4 Professional and Institutional Development

WINNIE P. MOVANAS
a. Scholarship Services SEPS - HRO
IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:
Internal Affairs Officer/Legal Affairs
a. Office

with pending administrative case

with ongoing investigation (no formal charge yet)


V CERTIFICATION

REYNALDO B. MELLORIDA
Schools Division Superintendent
Date of Application

ode of Separation:
ecify: ______________

__________________
nature of Employee

C. CAMAHALAN
ool Head

Signature

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