Republic of the Philippines
Department of Education
REGION IX
SCHOOLS DIVISION OF DAPITAN CITY
The Schools Division Superintendent
Division of City Schools
City of Dapitan
(Through Channel)
Sir:
This is to inform you that I have satisfactorily accounted for all the property of which was responsible in the school
and that reports required of me have been submitted on the dates indicated below:
1. School Form 1 ___________ 14. City Clearance ___________
2. School Form 2 ___________ 15. Property Inventory ___________
3. School Form 3 ___________ 16. Library Inventory ___________
4. DepEd Form 11 NOT REQUIRED 17. Rep. Consumed Supplies ___________
5. School Form 12 ___________ 18. Annual Report ___________
6. SF 4 ___________ 19. Home Economics Report ___________
7. SF 5 ___________ 20. Clinic Report ___________
8. C.S. Form 48 ___________ 21. Special Report ___________
9. DepEd Form 137 - E ___________ 22. Has Special Permit to possess firearms?
10. DepEd Form 138 ___________ ______ Surrender? ______
11. Organization of Classes ____________ 23. Resignation: ______ Leave: ______
12. NFE Form 1 & 2 ____________ 24. C.S. Form 86 ____________________
13. Quarterly Report on NFE ____________ Transfer: ______ Retirement: ______
Shortage of property accountability amounting to NONE Pesos (P____) was paid / deposited to NONE.
The list of the said property is written at the back hereof. I hereby certify to have received the amount of NONE Pesos
(P___) as stated under item NONE.
Checked by: IMELDA F. TAN ROCHEN P. GUMBASON
SP – 2 Name of Teacher
O. K. As to money property accountability:
MARICAR A. RECAMARA ANELITA A. BULAY - OG
School Property Custodian District Property Custodian
JUVELYN DULUTALIAS
BAYDPSTEA Treasurer/District Loan System
1st Endorsement
BAYLIMANGO SCHOOLS DISTRICT
Dapitan City, July 16, 2021
Respectfully forwarded to the Schools Division Superintendent, Division of Dapitan City, City of Dapitan, the
foregoing statement of JANE J. MAGHINAY. The last day of actual service of the above - named teacher is July 16, 2021.
Noted: Approved:
IMELDA F. TAN DANNY B. CORDOVA EdD, CESO VI
SP - 2 Assistant Schools Division Superintendent
Officer-In-Charge
Office of the Schools Division Superintendent
_________________________________________________________________________________________________
Address: Sunset Boulevard, Dawo, Dapitan City
Telephone No.: (65) 908-8242 Fax No.: (65) 908-8361
Website: [Link] Email Address: dapitancity@[Link]