St. Vincent’s High School of Bonifacio, Mis. Occ., Inc.

7215 Poblacion, Bonifacio, Misamis Occidental Philippines

“Your Partner in Christian Formation since 1946”
Government Recognition No. 348 S. 1950

TEACHER’S CLEARANCE
S.Y 2021-2022

I-FORMS/REPORTS PERSON IN- CHARGE SIGNATURE

1.Form 1
2.Form 2 (August – May)
3. Form 137
a. PSA
4. Form 138
a. Class Record
b. Grading Sheet
c. Master Sheet
5. Ranking of Honor (Pupils and
Students)with complete attachment
6. Form 5
7. Top ten, homeroom & PTCA Officials
II- INVENTORIES
1. Classroom
2. AVR
3. Computer
4. Clinic
5. Library
6.Science Laboratory
7.TLE
8.Lesson Plan
III- PROJECTS
1. Homeroom Projects
2. Subject Project
IV – BORROWED MATERIALS
1. Books
2. Teaching Guide / Teachers’ Manual
3. Reviewer
4. Sports Equipment
5. Curriculum Guide
6. K-12 Readings
V-FINANCIAL
1. Loan
2. Guaranteed Accounts
3. Liquidations (Disbursed School Money)
4. Liquidations (Homeroom Projects)
5. Lost Books Payments
6. ETC.( Certification for classroom
beautification)

____________________________
Teacher / Grade /Year
NELLIE A. OMAMBAC
School Principal

CERTIFICATION
This is to certify that __________________________ is cleared of all money, property and
responsibilities this ________________.

NELLIE A. OMAMBAC
School Principal
 St. Vincent’s High School of Bonifacio, Mis. Occ., Inc.
7215 Poblacion, Bonifacio, Misamis Occidental Philippines
“Your Partner in Christian Formation since 1946”
Government Recognition No. 348 S. 1950

TEACHER’S CLEARANCE

MOST REV. MARTIN S. JUMOAD, D.D.

ACE Superintendent
Catadman, Ozamiz City

THRU: DR. ROSA M. LANTACA

ACE Supervisor / Consultant
Catadman, Ozamiz City

Sir/Madam,

This is to inform you that I have satisfactorily accounted for all monetary and property for which I was
responsible at St. Vincent's High School of Bonifacio, Misamis Occidental, Inc., and that all required reports
have been submitted on the checkers shown below:

Required Plan
Forms / Checkers Signature Curriculum
Nellie A. Omambac
Reports Mapping
Form 1 / SF Teacher’s
Haidee Christine C. Tauto-an
1 Performance Nellie A. Omambac
Form 2 / SF Rating
Haidee Christine C. Tauto-an
2
Form 18 / SF
Haidee Christine C. Tauto-an
5
Form 138 /
Haidee Christine C. Tauto-an
SF 9
Form 137/SF
Haidee Christine C. Tauto-an
10
Property
Jeoan O. Tejada
Inventory
TLE
Jay Cariel P. Gastones
Equipment
Science Lab.
Daryll M. Alberca
Equipment
Book /
Haidee Christine C. Tauto-an
Modules
G-An P. Jamito / Nellie A.
PTA Funds
Omambac
Required
Forms / Checkers Signature
Reports
Pupil/
G-An P. Jamito / Nellie A.
Student
Omambac
Funds
Canteen
Jay Cariel P. Gastones
Fund
Keys
(Room / Jeoan O. Tejada
Office)
Finance
G-An P. Jamito
Office
Learning
Plan by Nellie A. Omambac
subject
Weekly
Nellie A. Omambac
Learning
 My last day of cumulative service at this school is on _________________. My mailing address is
______________________________________.

Validated by Approved by

NELLIE A. OMAMBAC REV. FR. NESTOR C. DUHILAG

School Principal School Director