Uploaded by HAZEL PALMA

DepEd Clearance Form for Maternity Leave

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Republic of the Philippines
Department of Education
CLEARANCE
TO WHOM IT MAY CONCERN:
This is to certify that_________________, Teacher I of this district is cleared
of all money and property responsibilities as of this date and is therefore
granted complete clearance.
This clearance is issued to_____________________, in connection with her
application for Maternity leave effective _____________________.
Given this ______ day of _________________
District Property Custodian
President
PADITEC President
PAPSTERA
_____________________________
Public School District Supervisor
Address: Banica, Roxas City
Contact Number: (036) 620 2371
Email Address: capiz@deped.gov
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