CLEARANCE CERTIFICATE

(For Retiring & Withdrawing Members)

DATE; ……/ ……/ ……….

TO
THE SECRETARY,
TEACHERS SERVICE COMMISSION,
PRIVATE BAG,
NAIROBI.

Dear sir/Madam,
Refer to under mentioned person who is a member of Unison Sacco.
His/her details are as follows;
Member No.………….TSC/P No..…………….. Account Name…..…………………………………
We therefore request for clearance of any obligation that might be due to TSC
Yours faithfully,

CHIEF EXECUTIVE OFFICER

UNISON SACCO SOCIETY LTD

FOR TSC OFFICIAL USE ONLY

I certify that the funds remitted by the TSC to UNISON SACCO SOCIETY LTD ,up to and including the
month of ……./……./…….. in respect of the accounts of the above named are duly earned by him/her
and that the TSC has no intentions of recalling those funds back with the exception of Ksh …………..
remitted for the month of ……………………………………………….. for the reasons of:
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………

I confirm that the teacher has no liabilities /has liabilities of Ksh …………… as per …………….. payroll

For: Secretary

TEACHERS SERVICE COMMISSION

Copy to; The Teacher