Department of Education (DepEd)

Region VII, Central Visayas

Division of Cebu
CONSOLACION NATIONAL HIGH SCHOOL - EVENING CLASS
Consolacion, Cebu
The Schools Division Superintendent
Cebu Province
BAEX Bldg., Cebu City

( Date )

(Through Channels)

SIR:
I have the honor to advice you that I have satisfactorily accounted for all money and property for which I was
responsible and that all reports required of me were submitted on the dates shown below. I, therefore, request that
CLEARANCE be given to me.

KIND OF REPORT
1

Form 1, School Register

Form 2, (March) - Mr. C. Lauron, Sr.

Form 20 (Summarized Report on Promotion) - Ms. Delos Reyes

Form 48 ( Daily Time Record ) Mrs. E. Lopez

Form 9 (Secondary Student's Evaluation Form)

Form 137-A (Sec. Student's Permanent Record)

Form 138-A (Progress Report Card)

Form 14 (1st to 4th Grading) + RAT (Ms. E.Tagalog)

Form 18 -A (Report on Sec. Promotion)

Date
Submitted

Checker's
Signature

Remarks

10 Minutes of PTCA Meeting

11 PAST (Subject Coordinators)
12 Ranklist of Honor Students (w/ signatures of Rank Committee)
13 Statement of Assets and Liabilities (Ms. E. Lopez)
14 Subject Area Outputs (Subject Coordinators)
15 Test Questions w/ Answer Key (1st - 4th Grading) -Coordinators
16 Urinalysis and X-ray
17

Very truly yours,

Teacher's Signature over Printed Name

This is to certify that ____________________________________________ has been cleared of all money and
property accountability.
JULINITA J. BUJAWE
Property Custodian

DAYLINDA Y. CABATINGAN
School COOP

HELEN M. PIAPE
Librarian

ANA VERNE D. CAPADNGAN

Teachers' Treasurer

Your Subject Dept Head

Laboratory Mgr

Your Other Subject Dept Head

NORMA K. DELOS REYES

1. Form 1
2. Form 2
3. Form 20

4.
5.
6.

Form 9
Form 137-A
Form 138-A

Recommending Approval:

7.
8.
9.

Form 14
Form 18-A
Grade Sheets / Consolidated Grades

CARMELITO M. LAURON, SR.

IT Coordinator

Approved:

ELISA M. ESCUTIN

ARDEN D. MONISIT, Ed.D.

Principal II

Schools Division Superintendent

List of Teachers
1.
2.

ALICIA T. ALIMOREN
ANA TERESITA G. GIMENA

3.

ANA VERNIE D. CAPADNGAN

ANTONIO P. GUNGOB
BRENDA G. LICAROS
CARLOTA P. ALIVIO
CARMELITO M. LAURON, Sr.
CHELO J. VALLE
CORAZON C. ZORILLA
CRESENCIANO T. NEPOMUCENO
DOLORES H. DAMALERIO
DOMINADOR N. ANDAN
ELISA M. ESCUTIN
ELLA O. ATEJERA
ERLINDA T. LOPEZ
ESTERLIOSA M. TAGALOG
EVA A. QUIAPO
GERALD C. MONEVA
HELEN M. PIAPE
LORENA G. MALINAO
LORNA M. ARIAS
LUCILA N. MARIBAO
MA. FATIMA E. PERICO
MA. LOURDES C. CAGAS
MARIBIE H. GALLEGO
MARINA H. CABALLES
NAZARENA B. COLONG
NONALIE S. BANTILES
NORMA K. DELOS REYES
PETRA T. FLORES
REMEDIOS E. BRANZUELA
RIZALINA E. ARCILLA
RODRIGO A. APOS
TERESITA A. JAYME
VICENTE B. SENCIO
VIRGILIA C. GINES

4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.

Department of Education (DepEd)

Region VII, Central Visayas
Division of Cebu
CONSOLACION NATIONAL HIGH SCHOOL - DAY CLASS
Consolacion, Cebu
The Schools Division Superintendent
Cebu Province
BAEX Bldg., Cebu City

( Date )

(Through Channels)

SIR:
I have the honor to advice you that I have satisfactorily accounted for all money and property for which I was
responsible and that all reports required of me were submitted on the dates shown below. I, therefore, request that
CLEARANCE be given to me.
Date
Submitted

KIND OF REPORT
1

Consolacion Teachers' Multi-Purpose Cooperative

Financial Report

Form 1, School Register

Form 2, (March) - Ms. G. Bertulfo

Form 20 (Summarized Report on Promotion)

Form 48 ( Daily Time Record ) - Ms. E. Lopez

Form 9 (Secondary Student's Evaluation Form)

Form 137-A (Sec. Student's Permanent Record)

Form 138-A (Progress Report Card)

Checker's
Signature

Remarks

10 Form 14 (1st to 4th Grading) + RAT

11 Form 18 -A (Report on Sec. Promotion)
12 Grading Sheets / Consolidated Grades
13 Minutes of PTCA Meeting (Ms. Daylinda Ylaya)
14 PAST (Subject Coordinators)
15 Ranklist of Honor Students (w/ signatures of Rank Committee)
16 Statement of Assets and Liabilities (Ms. Elna Muring)
17 Subject Area Outputs (Subject Coordinators)
18 Test Questions w/ Answer Key (1st - 4th Grading) -Coordinators
19 Urinalysis and X-ray (Ms. Elna Muring)

Very truly yours,

Teacher's Signature over Printed Name

This is to certify that ____________________________________________ has been cleared of all money and
property accountability.
JEDESTEEL L. PERNITO
Property Custodian

School Canteen

Librarian

Your Primary Subj Dept Head

GUELLERMA M. BERTULFO

CHARMELA I. BURAOS
Teachers' Treasurer

Your Other Subj Dept Head

Laboratory Mgr

Your Other Subj Dept Head

CARMELITO M. LAURON, SR.

1. Form 1
2. Form 2
3. Form 20

4.
5.
6.

Form 9
Form 137-A
Form 138-A

Recommending Approval:

7.
8.
9.

IT Coordinator

Form 14
Form 18-A
Grade Sheets / Consolidated Grades

Approved:

ADELINA P. SEMBLANTE

RECAREDO G. BORGONIA

Principal II

Schools Division Superintendent

195