CS Form No. 7 New Clearance Form With Signatories 1
CS Form No. 7 New Clearance Form With Signatories 1
CS Form No. 7 New Clearance Form With Signatories 1
7
Series
Seriesofof2017
2017
Department of Education
CLEARANCE FORM
(Instructions at the back)
25-Aug-22
; Date of Application
TO: DEPARTMENT OF EDUCATION
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: __________________________________________________________
c. Agency-accredited Union/Cooperative
2. Library
N/A
a. Legal Office Library
WENCY A. RIGUNAY
b. Library Services
3. Finance and Assets Management
ROSALINDA A. CARDENAS
c. Payroll & Remittance Services CECILLE D. SUPNET
4. Professional and Institutional Development
V CERTIFICATION
Page 1 of 2
INSTRUCTIONS:
1.
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.)