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CS-Form-No.-7-Clearance-Form-Division

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9 views

CS-Form-No.-7-Clearance-Form-Division

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Skul TV Show
Copyright
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We take content rights seriously. If you suspect this is your content, claim it here.
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CS Form No.

7
Series
Seriesofof2018
2017
Sultan Kudarat Division
CLEARANCE FORM
(Instructions at the back)

I PURPOSE

Date of Application
TO: DEPARTMENT OF EDUCATION - DIVISION OF SULTAN KUDARAT
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose:  Transfer  Resignation  Other Mode of Separation:
 Retirement  Leave Please specify: __________________________
Effectivity/Inclusive Period: __________________________________________________________

Office of Assignment: ______________________


______________________________
Position/SG/Step: ____________________________ Name and Signature of Employee
II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES
We hereby certify that this applicant is cleared of work-related accountabilities from this Unit/Office/Dept.

_______________________________ CRISPIN A. SOLIVEN JR., CESE


Immediate Supervisor Schools Division Superintendent

III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES


Not
Name of Unit/Office/Department Cleared Cleared
Name of Clearing Officer/Official Signature
1. Administration Sector
Supply and Property Procurement and
a. Management Services MELVIN P. FORTUNA

b. Human Resource Welfare & Assistance ROWENA JESSETTE S. VILLA

c. Agency-accredited Union/Cooperative
2. Library
ATTY. EDWARD CAESAR J. BEDRO
a. Legal Office Library
RACHEL A. VELASCO
b. Library Services
3. Finance and Assets Management

a. Financial Services NOLI M. ASUNCION

b. Transaction, Processing & Billing Services LIZA B. ROMALLOSA

c. Payroll & Remittance Services JENNIFER C. ARCIBAL


4. Professional and Institutional Development

a. Scholarship Services LAZARO P. ORIEL


IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:

ATTY. EDWARD CAESAR J. BEDRO


a. Internal Affairs Office/Legal Affairs Office
with pending administrative case
with ongoing investigation (no formal charge yet)

CERTIFICATION

CRISPIN A. SOLIVEN JR., CESE


Schools Division Superintendent

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