MAHATMA GANDHI SCHOOL

YAYASAN GANDHI SEMESTA PRIMA

Jl. Tabing Blok B-16 No.3, Kemayoran – Jak-Pus 10720
Telp. 6542241, 6542476, 6542477
Fax. 6542479

CLEARANCE FORM
Second Term – June 2024

Teacher’s Name : ____________________________ Date : _______________

The following must be submitted and signed by :

Signatures

1. Librarian : Borrowed Books

LIBRARIAN
2. Put √ if already submitted

________ Log Book / Lesson Plan Book (pdf file)

________ Updated syllabus for the next school year
________ Subject Mark Sheet checked and signed :
________ a) Monthly
________ b) Internal and Exam Results
________ Updated classroom / room inventory
________ Details of repairs required in your class
________ exam papers documents (pdf file)

3. For Class Teacher Only : ( Put √ if already submitted )

________ 1. Consolidated Mark Sheets (blue file)

________ 2. Progress Report Cards
________ 3. Attendance Register
________ 4. Classroom Diary
________ 5. Class Locker Keys

TEACHER

Note : 1. Please present this form to the accounts office

After all the signatures are obtained.
KEPALA SEKOLAH