August 16, 2023

CLEARANCE/CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that ___________________________, Teacher I, under regular permanent

status and stationed at (School)___________________, (District) has been cleared of her administrative
responsibilities, money accountability and property responsibilities in said school as of this date.

Issued to ______________________________ in connection with her Maternity leave, to take effect on

August 16 to November 28, 2023.

________________________________ __________________________________

Administrative Officer II Teacher III

SCHOOL PROPERTY CUSTODIAN SCHOOL TREASURER

_________________________________

Principal III

SCHOOL HEAD