Missionari Della Fede

Community Learning Center-

Community High School, Inc.
Inclusive quality private education for all!
E. Quirino St., Brgy. Nanhaya, Victoria, Laguna, Philippines (4011)

CLEARANCE
Name of Teacher: _____________________________ School Year: 2022-2023
Ancillary position: _____________________________
Advisory Grade level and section: ________________

Position/Designation Name of Official Signature

Librarian RIZZA LYN FERNANDEZ
Property Custodian FE MONICA REBONG
Guidance Counselor LESLIE DOMINIC LUTIVIO
School Registrar STANLEY SAN JOSE
Accounting/Vice Directress PAMELA EVIO
Vice-Principal STANLEY SAN JOSE
Principal JHEFFREY OCA
Directress CECILIA LOTERIA-EVIO
President PRAXEDO EVIO JR.

Requirements:
Librarian- all issued books to the teacher and SF3
Property Custodian- School Property Report
 Inspection of assigned classroom and ancillary room/s
 Accounting of facilities, tools, equipment and amenities
Guidance Counselor- No Pending Case/Grievance Clearance
School Registrar- Checking of School Forms Checklist with complete signature of designated teachers
 Checked hard copies of School Forms (SF1, SF2, SF3, SF5, F-137, F-138, birth certificates, medical and
dental records, class records, etc.)
 Checked and updated soft copies of all school forms
Accounting- disclosure of government deducted loans and other monetary responsibilities
Vice-Principal- Narrative Reports and Conference Notebooks
Principal- Ancillary documents, accomplishments and reports
Note: This clearance is the main requirement for the release of Certificate of Employment and Service Records and other legal
documents. Failure to comply within the specific time duration means neglect of duties and is subject to legal and disciplinary
actions.

Missionari Della Fede

Community Learning Center-
Community High School, Inc.
Inclusive quality private education for all!
E. Quirino St., Brgy. Nanhaya, Victoria, Laguna, Philippines (4011)

CLEARANCE
Name of Teacher: _____________________________ School Year: 2022-2023
Ancillary position: _____________________________
Advisory Grade level and section: _________________

Position/Designation Name of Official Signature

Librarian RIZZA LYN FERNANDEZ
Property Custodian FE MONICA REBONG
Guidance Counselor LESLIE DOMINIC LUTIVIO
School Registrar KARL ANJELO BANCA
Accounting/Vice Directress PAMELA EVIO
Vice-Principal KARL ANJELO BANCA
Principal JHEFFREY OCA
Directress CECILIA LOTERIA-EVIO
President PRAXEDO EVIO JR.

Requirements:
Librarian- all issued books to the teacher and SF3
Property Custodian- School Property Report
 Inspection of assigned classroom and ancillary room/s
 Accounting of facilities, tools, equipment and amenities
Guidance Counselor- No Pending Case/Grievance Clearance
School Registrar- Checking of School Forms Checklist with complete signature of designated teachers
 Checked hard copies of School Forms (SF1, SF2, SF3, SF5, F-137, F-138, birth certificates, medical and
dental records, class records, etc.)
 Checked and updated soft copies of all school forms
Accounting- disclosure of government deducted loans and other monetary responsibilities
Vice-Principal- Narrative Reports and Conference Notebooks
Principal- Ancillary documents, accomplishments and reports
Note: This clearance is the main requirement for the release of Certificate of Employment and Service Records and other legal
documents. Failure to comply within the specific time duration means neglect of duties and is subject to legal and disciplinary
actions.