Republic of the Philippines
Department of Education
DIVISION OF DAVAO CITY
MATINA APLAYA ELEMENTARY SCHOOL
MATINA APLAYA, DAVAO CITY
___________________
Date
DR. REYNANTE A. SOLITARIO, CESO V
Division of Davao City, Davao City
(Through Channels)
SIR/ MADAM:
I have the honor to inform you that I have satisfactorily accounted for all money and property for which I was
responsible in MATINA APLAYA ELEMENTARY SCHOOL and that all reports required of me have been submitted on
the dates shown below:
School Form 1 (SF1) SF 9/Form 138 (Report Card)
School Form 2 (SF2) Grading Sheets
School Form 3 (SF3) IPCRF/OPCRF
SF 5 Elem. Certificate/Diploma
SF 10/Form 137 Inventory Custodian Slip (ICS)
Resignation NC. If so, Div. Form 25 attached _______________________ transferred to
______________________________. Leave granted by S.O. No. ___________________. Firearms deposited with PC at
______________________ Receipt No. ___________________ Date __________________. Complete files of official
correspondence and circulars. Literature for at least _____________ years are being kept in safety with the signature of
the Custodian with other school property. At all test papers and test results filed with other records
______________________.
May last day of authorized service in this school was ________________. My mailing address is
_______________________________________. Total number of days absent during the school year
________________ (Mat., Sick, Vac., Per. Leave). Total days service rendered within the school year. ______________.
SCHOOL SIGNATORIES
______________________ FELY M. PEDRABUENA REGINO K. NAMUAG JR. VICENTA D. DAUGDAUG
Teacher-III DTR Incharge School Prop. Custodian/Reports School Guidance/Reports
VERIFIED: Very truly yours,
JASPER RAY T. MANCIO DAISY ANTIMOR-LEONARD
________________________
Principal II Teacher -I
UNANG PAGLILIPAT
PUROK NG MATINA
Lungsod ng Dabaw, ______________ 2024
Respectfully forwarded to the Schools Division Superintendent, Davao City, with the information that the foregoing
Statements are correct and complete, CLEARANCE is hereby granted.
EVANGELINE A. VICENCIO,MAEM
District Supervisor
Address: Brgy. 75-A, Matina Aplaya, Davao City
Tel. No.: (082) 311-7065
E-mail:
[email protected]