Department of Education

Region X
Division of Bukidnon
District of Kitaotao III
BALOCBOCAN ELEMENTARY SCHOOL
Balocbocan, Kitaotao, Bukidnon
SCHOOL CLEARANCE
Date: October 22, 2021
The School Principal

Sir/Madam:
I have the honor to inform your good office that I have satisfactorily accounted for
all the money and property for which I am resposible and that all reports required on me
have been submitted on the date indicated below and duly recieved and reviewed as
follows:

Reports/Money/Responsibility Date Recieved by Person Incharge Signature

1. Form 137-E School Principal
2. Form 138/Checklist School Principal
3. SF-1 (New) School Principal
4. SF-2 (Enrolment Report from Teacher) School Principal
5. SF-3 (Books Issued and Returned) School Principal
6. SF-4 (Monthly Enrolment of School) School Principal
7. SF-5 (Report on Promotion and level of Proficiency) School Principal
8. SF-6 (Consolidated Report on Promotion) School Principal
9. SF-7 (School Personnel Assignment List & Basic Profile School Principal
10. IPCRF (Teachers Only) School Principal
11. Daily Lesson Log (DLL) for old teachers School Principal
12. Class Record (DepEd order no. 36,s.2016) School Principal
13. Grading Sheets (DepEd order no. 36,s.2016) School Principal
14. Inventory of Donated Properties School Principal
15. School/Classroom Inventory of Books School Property Custodian
16. School/Cluster Treasurer Neil June D. Montejo
17. GPTA Treasurer Mrs. Jungie G. Puti-an
18. KTEL Treasurer

Untill further notice, my mailling address will be P-6 Kitubo, Kitaotao, Bukidnon with
contact no. 09485291279.
Very truly yours,

MARJOREY M.
HORTILANO
Teacher
Approved by:
FLORDEMAY S. ACERA
ESHT-I