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CS Form No. 7
I PURPOSE: TO SUPPORT HER REQUEST FOR SICK LEAVE FROM JANUARY TO MARCH 2024
TO:
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:
Office of Assignment:
Position/SG/Step: /STEP /SG
II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES
We hereby certify that this applicant is cleared of work-related accountabilities from this Unit/Office/Dept.
III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES
Cleared
1. Administration Sector
a.
b.
c.
2. Library
a. Legal Office Library
b. Library Services
3. Finance and Assets Management
a.
b.
c.
4. Professional and Institutional Development
a.
IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE:
a.
with pending administrative case
with ongoing investigation (no formal charge yet)
V
Provincial Director
Payroll & Remittance Services
Internal Affairs Office/Legal Affairs Office
Scholarship Services
Financial Services
Transaction, Processing & Billing Services
Supply and Property Procurement and
Management Services
Name of Unit/Office/Department
Human Resource Welfare & Assistance
Agency-accredited Union/Cooperative
CERTIFICATION
immediate Supervisor Provincial Director
Signature
Not
Cleared
Name of Clearing Officer/Official
(Instructions at the back)
Name and Signature of Employee
Series of 2018
Page 1 of 2
CLEARANCE FORM
Date of Application

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Clearance form in government offices, regulated by the Civil Service Commission

  • 1. CS Form No. 7 I PURPOSE: TO SUPPORT HER REQUEST FOR SICK LEAVE FROM JANUARY TO MARCH 2024 TO: 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: Office of Assignment: Position/SG/Step: /STEP /SG II CLEARANCE FROM WORK-RELATED ACCOUNTABILITIES We hereby certify that this applicant is cleared of work-related accountabilities from this Unit/Office/Dept. III CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES Cleared 1. Administration Sector a. b. c. 2. Library a. Legal Office Library b. Library Services 3. Finance and Assets Management a. b. c. 4. Professional and Institutional Development a. IV CERTIFICATION OF NO PENDING ADMINISTRATIVE CASE: a. with pending administrative case with ongoing investigation (no formal charge yet) V Provincial Director Payroll & Remittance Services Internal Affairs Office/Legal Affairs Office Scholarship Services Financial Services Transaction, Processing & Billing Services Supply and Property Procurement and Management Services Name of Unit/Office/Department Human Resource Welfare & Assistance Agency-accredited Union/Cooperative CERTIFICATION immediate Supervisor Provincial Director Signature Not Cleared Name of Clearing Officer/Official (Instructions at the back) Name and Signature of Employee Series of 2018 Page 1 of 2 CLEARANCE FORM Date of Application