TSU HRD SF 46 Clearance Lect R04

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TARLAC STATE UNIVERSITY

HUMAN RESOURCE DEVELOPMENT & MANAGEMENT OFFICE

P
CLEARANCE FOR LECTURER
(FULL TIME/PART-TIME)
(END OF CONTRACT)

________________________
Date
THE VICE PRESIDENT for Academic affairs
Tarlac State University
Tarlac City

Sir/Madam:

In connection with my ________________________________________________ which


will take effect on __________________. I have the honor to advise you that I have satisfactorily
accounted for all money, property and/or all other responsibilities in the Tarlac State University. I
therefore apply for clearance from all of the above responsibilities.

My last day of service was __________________________.

Very truly yours,

________________________ ________________________
Signature

________________________ ________________________
Address Printed Name & Designation

………………………………………………………………………………………………………

_____________________________ _____________________________
Immediate Supervisor/Dean/Director Director, Admission & Registration Office

_____________________________ _____________________________
Head, Administrative Services Unit Director, HRDMO

Approved:

_____________________________
Vice President for Academic Affairs

Form No.: TSU-HRD-SF-46 Revision No.: 04 Effectivity Date: September 22, 2020 Page 1 of 1

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