Professional Documents
Culture Documents
(Position) (Full Name) : (Book Accountability)
(Position) (Full Name) : (Book Accountability)
Department of Justice
OFFICE OF THE SECRETARY
Manila
CLEARANCE
This is to certify that
(position)
(residence address)
(contact number/person)
PURPOSE OF CLEARANCE
Effective on
__________
Head of Office
Date
AUTHORIZED SIGNATORY
DATE
Accounting Division
MOOE
BOC
TEV Local/Foreign
RA 9279 (as collecting officer)
8. Administrative Service
Records Section (records on file)
Supply Section (property accountabilities)
Personnel Division (SALN, ID card & ATM Card)
Leave Section (Service obligation)
Total Leave Credits broken down as
Vacation Leave
Sick Leave
Payroll Section
(Money accountabilites for DOJ Proper/Regional/Provincial/City)
Overpayment
Salary
PERA
RATA
Bonus/Cash Gift
Others
Total Overpayment
Removed from Payroll effective
Final Salary
Final RATA/PERA
Check/fill out the appropriate space provided
Refunded under O.R. No. ________ dated_____
To be deducted from terminal leave benefit/retirement gratuity
Other Accountabilities
PLDT
NSFD
Approved
______
Director, Financial Service
Date
NOTE: Issuance of clearance does not relieve the official or employee of accountabilities
______
Director, Administrative Service
Date