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Republic of the Philippines

Department of Education
REGION VI – Western Visayas
SCHOOLS DIVISION OF NEGROS OCCIDENTAL
TEACHER’S CLEARANCE

The Principal
Bocana National High School
Bocana, Ilog, Negros Occidental

Sir:

I have the honor to inform you that I have properly submitted all requested reports and accurately reported
all the property obligations I am in charge of at Bocana National High School.

NAME OF REPORT CHECKER DATE RECEIVED SIGNATURE


1. SCHOOL FORMS
a. SF 1
b. SF 2
M. Candiasan
c. SF 9
d. SF 10
e. Rank list of Graduates/Students
2. IPCRF w/ Attachments
3. Periodical Test MPS
S. Gerasmia
4. Anecdotal Records
5. Student Clearance
6. SCHOOL PROPERTY
a. Classroom/Property Inventory G. Gudaca

b. Sports Equipment
7. CS Form 86
J. Toding
a. Medical Laboratory Results

__________________________________________
Signature over Printed Name of Teacher

STEPHEN G. GERASMIA
Principal I

BOCANA NATIONAL HIGH SCHOOL


Bocana, Ilog, Negros Occidental
Email Add: 302593@deped.gov.ph
Contact No.: 09695211222/(034) 445-0688

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