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clearance form
clearance form
7
Series of 2017
Department of Transportation
LAND TRANSPORTATION OFFICE
Regional Office IX, Zamboanga City
REGIONAL CLEARANCE
(Instructions at the back)
I PURPOSE
October 16, 2023
Date of Application
TO: Land Transportation Office IX
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: £ Transfer £ Resignation £ Other Mode of Separation:
£ Retirement £ Leave Please specify: __________________________
Effectivity/Inclusive Peri December 08, 2023
CONCEPCION R. EDIZA
Position/SG/Ste SVTRO/22/3 Name and Signature of Employee
b. Property Section
JUNMUNIR I. HASSAN
a. Accounting Section
CZHARINA MAE P. BASILIO
b. Cash Section
ENGELYN A. SIRILAN
V CERTIFICATION
NASSER P. IBRAHIM
Regional Director
Page 1 of 2
INSTRUCTIONS:
2. This clearance should be duly accomplished before paying the last salary or
any money due the employees. (Specify which type of clearance: maternity
leave, retirement, transfer, etc.)
Page 2 of 2
CSC Form No. 7
Series of 2017
Department of Transportation
LAND TRANSPORTATION OFFICE
Regional Office IX, Zamboanga City
REGIONAL CLEARANCE
(Instructions at the back)
I PURPOSE
December 20, 2022
Date of Application
TO: Land Transportation Office IX
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: £ Transfer £ Resignation £ Other Mode of Separation:
£ Retirement £ Leave Please specify: __________________________
Effectivity/Inclusive Period: __________________________________________________________
b. Property Section
MARY JANE P. MAILIG
a. Accounting Section
CZHARINA MAE P. BASILIO
b. Cash Section
ENGELYN A. SIRILAN
V CERTIFICATION
Page 1 of 2
CSC Form No. 7
Series of 2017
Department of Transportation
LAND TRANSPORTATION OFFICE
Regional Office IX, Zamboanga City
REGIONAL CLEARANCE
(Instructions at the back)
I PURPOSE
January 20, 2023
Date of Application
TO: Land Transportation Office IX
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: £ Transfer £ Resignation £ Other Mode of Separation:
£ Retirement £ Leave Please specify: __________________________
Effectivity/Inclusive Peri September 01, 2022
b. Property Section
MARY JANE P. MAILIG
a. Accounting Section
CZHARINA MAE P. BASILIO
b. Cash Section
ENGELYN A. SIRILAN
V CERTIFICATION
Page 1 of 2
CSC Form No. 7
Series of 2017
Department of Transportation
LAND TRANSPORTATION OFFICE
Regional Office IX, Zamboanga City
REGIONAL CLEARANCE
(Instructions at the back)
I PURPOSE
March 24, 2023
Date of Application
TO: Land Transportation Office IX
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: £ Transfer £ Resignation £ Other Mode of Separation:
£ Retirement £ Leave Please specify: TRAVEL ABROAD (JEDDAH, KSA)
Effectivity/Inclusive Peri April 11 to May 11, 2023
KIDSO G. ABUTAZIL
Position/SG/Ste Admin Aide III/3/6 Name and Signature of Employee
b. Property Section
MARY JANE P. MAILIG
a. Accounting Section
CZHARINA MAE P. BASILIO
b. Cash Section
ENGELYN A. SIRILAN
V CERTIFICATION
Page 1 of 2
CSC Form No. 7
Series of 2017
Department of Transportation
LAND TRANSPORTATION OFFICE
Regional Office IX, Zamboanga City
REGIONAL CLEARANCE
(Instructions at the back)
I PURPOSE
November 07, 2023
Date of Application
TO: Land Transportation Office IX
I hereby apply for clearance from money, property and work-related accountabilities for:
Purpose: £ Transfer £ Resignation £ Other Mode of Separation:
£ Retirement £ Leave Please specify: TRAVEL ABROAD (SINGAPORE)
Effectivity/Inclusive Peri Decmber 09-13
b. Property Section
JUNMUNIR I. HASSAN
a. Accounting Section
CZHARINA MAE P. BASILIO
b. Cash Section
ENGELYN A. SIRILAN
V CERTIFICATION
NASSER P. IBRAHIM
Regional Director
Page 1 of 2