NAME: _______________________________________________ GRADE LEVEL: ____ NAME: _______________________________________________ GRADE LEVEL: ____

EXAMINATION CLEARANCE EXAMINATION CLEARANCE

SECOND QUARTER SECOND QUARTER

SUBJECT TEACHER’S SIGNATURE SUBJECT TEACHER’S SIGNATURE

English School Records: English School Records:
Math - Report Card Math - Report Card
Science - Form 137 - Form 137
Science
- PSA/ Birth Cert. - PSA/ Birth Cert.
Filipino Filipino
- Bond Paper - Bond Paper
Araling Araling
Panlipunan Panlipunan
TLE / EPP
Ms. Roxanne L. Aguirre Ms. Roxanne L. Aguirre
TLE / EPP
Records-in-Charge Records-in-Charge
ESP ESP
Music Ms. Edita P. Ilagan Music Ms. Edita P. Ilagan
Arts Accounts Officer Arts Accounts Officer
PE PE
Health Health

Adviser: Teacher-in-Charge: Adviser: Teacher-in-Charge:

CHERYL N. KIM, MARED, LPT CHERYL N. KIM, MARED, LPT

School Administrator School Administrator