Republic of the Philippines Republic of the Philippines Republic of the Philippines

Department of Education Department of Education Department of Education

Region IX, Zamboanga Peninsula
Division of Zamboanga Del Sur
POBLACION COMPREHENSVE NATIONAL HIGH SCHOOL (R.A. 9549)
Lake Wood, Zamboanga del Sur
S.Y. 2018-2019
STUDENT’S CLEARANCE
Name: ___________________________Yr./Sec: ____________
Region IX, Zamboanga Peninsula
Division of Zamboanga Del Sur
POBLACION COMPREHENSVE NATIONAL HIGH SCHOOL (R.A. 9549)
Lake Wood, Zamboanga del Sur
S.Y. 2018-2019
STUDENT’S CLEARANCE
Name: ___________________________Yr./Sec: ____________
Region IX, Zamboanga Peninsula
Division of Zamboanga Del Sur
POBLACION COMPREHENSVE NATIONAL HIGH SCHOOL (R.A. 9549)
Lake Wood, Zamboanga del Sur
S.Y. 2018-2019
STUDENT’S CLEARANCE
Name: ___________________________Yr./Sec: ____________

SUBJECTS DATE SIGNATURE SUBJECTS DATE SIGNATURE SUBJECTS DATE SIGNATURE

1. Filipino 1. Filipino 1. Filipino
2. Araling Panlipunan 2. Araling Panlipunan 2. Araling Panlipunan
3. MAPEH 3. MAPEH 3. MAPEH
4. Values Education 4. Values Education 4. Values Education
5. English 5. English 5. English
6. Science & Technology 6. Science & Technology 6. Science & Technology
7. Mathematics 7. Mathematics 7. Mathematics
8. Tech.& Livelihood Education 8. Tech.& Livelihood Education 8. Tech.& Livelihood Education
9. SSG/Other Organization 9. SSG/Other Organization 9. SSG/Other Organization
10.Class Treasurer 10.Class Treasurer 10.Class Treasurer
11. Athletics 11. Athletics 11. Athletics
12. Graduation fee 12. Graduation fee 12. Graduation fee
13. Permanent records 13. Permanent records 13. Permanent records
14. Library 14. Library 14. Library
15. GPTA Treasurer 15. GPTA Treasurer 15. GPTA Treasurer
16. Canteen 16. Canteen 16. Canteen
17. Miscellaneous 17. Miscellaneous 17. Miscellaneous
18. Tree Planting 18. Tree Planting 18. Tree Planting
19. Supply 19. Supply 19. Supply
20. School Pub. 20. School Pub. 20. School Pub.

I HEREBY CERTIFY that the signature appeared above is the right
person concern. Any misrepresentation, alteration of foregoing signature
makes one answerable to the existing rules, regulations and to the existing
law of the land.
__________________________
Student’s Signature
I HEREBY CERTIFY that the signature appeared above is the right
person concern. Any misrepresentation, alteration of foregoing signature
makes one answerable to the existing rules, regulations and to the existing
law of the land.
__________________________
Student’s Signature
I HEREBY CERTIFY that the signature appeared above is the right
person concern. Any misrepresentation, alteration of foregoing signature
makes one answerable to the existing rules, regulations and to the existing
law of the land.
__________________________
Student’s Signature

I HEREBY CERTIFY that the above named student is I HEREBY CERTIFY that the above named student is I HEREBY CERTIFY that the above named student is
cleared of money, property, accountabilities of which I am jointly liable cleared of money, property, accountabilities of which I am jointly liable cleared of money, property, accountabilities of which I am jointly liable
of any misrepresentation. of any misrepresentation. of any misrepresentation.

Sponsored by: Sponsored by: Sponsored by:

Approved: Approved: Approved:

______________________ ________________________ ________________________

Adviser Adviser Adviser
ARTHUR J. PEREZ ARTHUR J. PEREZ ARTHUR J. PEREZ
Principal Principal Principal