Year-End School Principals’ Clearance and Teachers’ Clearance Template

Schools Division Office
Province of Samar

BASEY I CENTRAL ELEMENTARY SCHOOL
Basey, Samar

Year-End Teachers’ Clearance
School Year 2015-2016

The Principal

Sir/Madam:

This is to inform you that I have satisfactorily settled all the property and financial obligations in the school and that I have submitted all the required reports as listed below. May I then be granted the Year-End Clearance for School Year 2015-2016.

CHECKED BY:/Date
(Signature over printed name)

1. School Form 1: School Register
2. School Form 2: Daily Attendance of Learners
3. Grading Sheets
4. School Form 5: (Report on Promotion & Level of Proficiency)
5. DepEd Form 137
6. DepEd Form 138
7. Return of Unissued Cards
8. CS Form 48
9. Guidance Form
10. Updated Form 212 (PDS)
11. Lesson Plans/DLL
12. Test Notebook
13. Nutritional Status (Feeding teacher)
14. Class Organizational list (Gr. /Yr. level chairmen)
15. List of Retained/ Drop-Out/ Transferred In and Out/ Failures
16. List of Students with General Average
17. Income Tax Return (ITR)
18. Library
a. Borrowed Books
b. Borrowed Materials
19. Classroom inventory and room safety
a. room keys
b. books
c. equipment
d. furniture
20. X-ray & Urine, ECG Exam
21. Dental Result
22. Financial Obligations
Teachers Club Dues
Canteen Funds
23. IPCRF
24. SALN as of December 2015
25. Latest Instructional Materials Prepared
26. Accomplishment Reports (if applicable)

In the exigency of service, I am willing to report to work and attend Summer INSET for Teachers.

Present Home Address:
Telephone/Cell phone Numbers:

Printed Name and Signature of Teacher

Recommending Approval:

Department Head/Chairman
Date:

Assistant to the Principal
Date:

Approved and clearance granted:

Principal

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Schools Division Office
Province of Samar

BASEY I CENTRAL ELEMENTARY SCHOOL

YEAR-END DIVISION CLEARANCE FOR SCHOOL HEADS
SCHOOL YEAR 2015-2016

The Schools Division Superintendent
Schools Division Office
Province of Samar

Madam:

I have the honor to inform you that I have satisfactorily accounted for the money and property responsibilities in the Schools Division Office, Province of Samar for the School Year 2015-2016 and that all the reports required of me were submitted on the dates shown below:

No.	REPORTS	DUE DATE	DATE SUBMITTED	RECEIVED BY REPRESENTATIVE	SIGNATURE
1	Approved Individual Performance and Review Form (IPCRF) FY 2015
2	Summarized Report on IPCRF of Teachers for SY 2015-2016 with their Approved IPCRF
3	2015 Annual Report
4	Certification of the Principal that all teachers under his/her jurisdiction submitted General Clearance for the School Year 2015-2016
5	School Form (SF5)
6	School Form (SF6)
7	Compilation of Monthly Liquidation Report - MOOE for FY 2015
8	Monthly School Canteen Financial Report
9	Compilation of Quarterly School Canteen Audited Report
10	Year-end Summarized Audited Report on School Canteen & Voluntary Contributions
11	GPTA Financial Report for S.Y. 2015-2016
12	Report on Leave of Absence for the Ensuing SY 2016-2017
13	School Form (SF4)
14	e-BEIS (End of the School Year Data)
15	Learner Information System (LIS)
16	Annual Inventory of 1. City School Board Properties
17	2. H.E. Properties
18	3. National Property (IMC) 4. District / Principal's Office / 5. Classroom Properties 6. Donated Properties
19	Updated Schools' Site Card
20	School Building Card
21	Updated School Site Development Plan
22	Summarized Report on Physical Examination of Teachers and Personnel
23	Copy of Approved Principal's Clearance

Having been present at the physical inventory of properties in the school, I certify that all the properties are securely kept in the school and are properly safeguarded against theft and from ravages of white ants and other vermin.

The field is further infomed that the deadline for the submission of this Clearance to the Records Division shall not be later than May 31, 2016.

Very truly yours,

SCHOOL PRINCIPAL

RECOMMENDING APPROVAL:

Administrative Officer

APPROVED:

Offcer-in-Charge
Office of the Schools Division Superintendent

Download: Year-End School Principals’ Clearance and Teachers’ Clearance Template – Facebook Group

Read:

1. Modified School Forms 5 and 6 in conformity with DO 8, s. 2015
2. Observance on the Selection of Honor Pupils and Students of Grades 1 to 10
3. 2016 Graduation Rites Script (Presentation, Certification & Confirmation)
4. Computation of Public Schools MOOE
5. Department’s Policy on Political Neutrality and Maintaining Our Offices and Schools as Neutral Zones