Scribd
Upload
67 views

Student'S Clearance: Carusa Integrated School

This document is a student clearance form from Carusa Integrated School for the first quarter of the 2022-2023 school year. It lists the student's subjects and teachers. Each teacher must sign to confirm the student has no outstanding obligations in their class. Signatures are also required from those overseeing extracurricular activities and school properties. The form is signed by the classroom adviser, department head, and school principal to complete the clearance process.

Uploaded by

Karen S. Robles
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
67 views

Student'S Clearance: Carusa Integrated School

This document is a student clearance form from Carusa Integrated School for the first quarter of the 2022-2023 school year. It lists the student's subjects and teachers. Each teacher must sign to confirm the student has no outstanding obligations in their class. Signatures are also required from those overseeing extracurricular activities and school properties. The form is signed by the classroom adviser, department head, and school principal to complete the clearance process.

Uploaded by

Karen S. Robles
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 12

CARUSA INTEGRATED SCHOOL Division of Lanao del Norte

Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

FILIPINO SALLI P. RATILLA . NELJUN S.


GUIDANCE .
LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG/ YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER
SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP
JOMARTHY J.
ICT
LERASAN
MAPEH JOMARTHY J. LERASAN

T.L.E ADVISER

SALLI P. RATILLA JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

FILIPINO SALLI P. RATILLA . NELJUN S.


GUIDANCE .
LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG/YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER
SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP
JOMARTHY J.
ICT
LERASAN
MAPEH JOMARTHY J. LERASAN

T.L.E ADVISER

SALLI P. RATILLA JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

DAISON ANTHONY V. NELJUN S.


FILIPINO . GUIDANCE .
MONTER LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG/ YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP JOMARTHY J.
ICT
LERASAN
MAPEH ADVISER

T.L.E ADVISER

DAISON ANTHONY V. MONTER JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

DAISON ANTHONY V. NELJUN S.


FILIPINO MONTER . GUIDANCE .
LANGGA

BARKADA
ENGLISH KAREN S. ROBLES KONTRA JUVELYN C. CUBOL
DROGA (BKD)

MATHEMATICS SALLI P. RATILLA SSG/ YES-O KAREN S. ROBLES

DAISON ANTHONY V. SCHOOL


SCIENCE
MONTER PROPERTY SALLI P. RATILLA
CUSTODIAN
ARALING
PANLIPUNAN AND JOMARTHY J. LERASAN JOMARTHY J.
ESP ICT
LERASAN

MAPEH ADVISER

T.L.E ADVISER

DAISON ANTHONY V. MONTER JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

FILIPINO ADVISER . NELJUN S.


GUIDANCE .
LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG/ YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER
SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP
JOMARTHY J.
ICT
LERASAN
MAPEH ADVISER

T.L.E ADVISER

CHARITY MAY D. ALVAREZ JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

FILIPINO ADVISER . NELJUN S.


GUIDANCE .
LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG/ YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER
SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP
JOMARTHY J.
ICT
LERASAN
MAPEH ADVISER

T.L.E ADVISER

CHARITY MAY D. ALVAREZ JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

FILIPINO KAREN S. ROBLES . NELJUN S.


GUIDANCE .
LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG- YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER
SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP
JOMARTHY J.
ICT
LERASAN
MAPEH ADVISER

T.L.E ADVISER

KAREN S. ROBLES JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Junior High School Department (JHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Subjects Teacher Remarks Signature Designate Remarks Signature

FILIPINO KAREN S. ROBLES . NELJUN S.


GUIDANCE .
LANGGA

ENGLISH KAREN S. ROBLES BARKADA


KONTRA JUVELYN C. CUBOL
DROGA (BKD)
MATHEMATICS SALLI P. RATILLA
SSG-YES-O KAREN S. ROBLES
DAISON ANTHONY V.
SCIENCE
MONTER
SCHOOL
ARALING PROPERTY SALLI P. RATILLA
PANLIPUNAN AND JOMARTHY J. LERASAN CUSTODIAN
ESP
JOMARTHY J.
ICT
LERASAN
MAPEH ADVISER

T.L.E ADVISER

KAREN S. ROBLES JOMARTHY J. LERASAN WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Senior High School Department (SHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Designate Remarks Signature


Grade
Teacher Remarks Signature
Level GUIDANCE NELJUN S. LANGGA .

JUVELYN C. CUBOL Grade 11 . BARKADA KONTRA


JUVELYN S. CUBOL
DROGA (BKD)
CHARITY MAY D.
Grade 11
ALVAREZ SSG/YES-O KAREN S. ROBLES

SALLI P. RATILLA Grade 11 SCHOOL PROPERTY


SALLI P. RATILLA
CUSTODIAN
NELJUN S. LANGGA Grade 12 JOMARTHY J.
ICT
LERASAN

JUVELYN C. CUBOL NELJUN S. LANGGA WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Senior High School Department (SHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Designate Remarks Signature


Grade
Teacher Remarks Signature
Level GUIDANCE NELJUN S. LANGGA .

JUVELYN C. CUBOL Grade 11 . BARKADA KONTRA


JUVELYN S. CUBOL
DROGA (BKD)
CHARITY MAY D.
Grade 11
ALVAREZ SSG/ YES-O KAREN S. ROBLES

SALLI P. RATILLA Grade 11 SCHOOL PROPERTY


SALLI P. RATILLA
CUSTODIAN
NELJUN S. LANGGA Grade 12 JOMARTHY J.
ICT
LERASAN

JUVELYN C. CUBOL NELJUN S. LANGGA WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Senior High School Department (SHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Designate Remarks Signature


Grade
Teacher Remarks Signature
Level GUIDANCE NELJUN S. LANGGA .

JUVELYN C. CUBOL Grade 11 . BARKADA KONTRA


JUVELYN S. CUBOL
DROGA (BKD)
CHARITY MAY D.
Grade 11
ALVAREZ SSG/ YES-O KAREN S. ROBLES

SALLI P. RATILLA Grade 11 SCHOOL PROPERTY


SALLI P. RATILLA
CUSTODIAN
NELJUN S. LANGGA Grade 12 JOMARTHY J.
ICT
LERASAN

NELJUN S. LANGGA NELJUN S. LANGGA WINAH C. CAFINO


Classroom Adviser Department Head School Principal I
CARUSA INTEGRATED SCHOOL Division of Lanao del Norte
Pulang Yuta, Kapatagan Lanao del Norte Kapatagan West District

STUDENT’S CLEARANCE
S.Y. 2022-2023
FIRST QUARTER Senior High School Department (SHS) Grade level:

Last Name: First Name: Middle Name: Ext:

Designate Remarks Signature


Grade
Teacher Remarks Signature
Level GUIDANCE NELJUN S. LANGGA .

JUVELYN C. CUBOL Grade 11 . BARKADA KONTRA


JUVELYN S. CUBOL
DROGA (BKD)
CHARITY MAY D.
Grade 11
ALVAREZ SSG/ YES-O KAREN S. ROBLES

SALLI P. RATILLA Grade 11 SCHOOL PROPERTY


SALLI P. RATILLA
CUSTODIAN
NELJUN S. LANGGA Grade 12 JOMARTHY J.
ICT
LERASAN

NELJUN S. LANGGA NELJUN S. LANGGA WINAH C. CAFINO


Classroom Adviser Department Head School Principal I

You might also like