clearance form for act staff

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ACT (TF, CFF, and CEF) Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Regional Office VIII Tacloban City REGIONAL CLEARANCE CERTIFICATE TO WHOM IT MAY CONCERN: THIS IS TO CERTIFY that the following staff of the Area Coordinating Team of _____________ are cleared as of December 31, 2014 of money, property and legal accountabilities with the Department of Social Welfare and Development, Field Office VIII, Tacloban City. This clearance is being issued for the purpose of: END OF CONTRACT effective December 31, 2014. 1. RECORDS, ASSIGNMENT AND OTHER ACCOUNTABILITIES Name Position Area Coordinator Sub Regional Program Coordinator Technical Facilitator Community Finance Facilitator Community Empowerment Facilitator NATIVIDAD G. SEQUITO Regional Program Coordinator RESTITUTO B. MACUTO Assistant Regional Director for Operations/ KC-NCDDP Regional Program Manager 2. FINANCIAL ACCOUNTABILITIES MARY AGNES S. PUSAY BRIGIDA D. ESPEJO AGAPITA N. CAÑETE Head, Acctg. Section/Regional Accountant III Head, Budget Section/AO V Head, Cash Section/AO III 3. PROPERTY ACCOUNTABILITIES AMADOR Q. TABONES ORVILLCE C. BERINO OIC-Head, Procurement and Supply Section /AA II OIC-Head, Admin. Unit/Administrative Officer II

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CLEARANCE FORM

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Page 1: Clearance Form for ACT Staff

ACT (TF, CFF, and CEF)

Republic of the PhilippinesDEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

Regional Office VIIITacloban City

REGIONAL CLEARANCE CERTIFICATE

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that the following staff of the Area Coordinating Team of _____________ are cleared as of December 31, 2014 of money, property and legal accountabilities with the Department of Social Welfare and Development, Field Office VIII, Tacloban City. This clearance is being issued for the purpose of: END OF CONTRACT effective December 31, 2014.

1. RECORDS, ASSIGNMENT AND OTHER ACCOUNTABILITIES

Name Position Area Coordinator Sub Regional Program Coordinator

Technical Facilitator

Community Finance Facilitator

Community Empowerment Facilitator

NATIVIDAD G. SEQUITORegional Program Coordinator

RESTITUTO B. MACUTOAssistant Regional Director for Operations/

KC-NCDDP Regional Program Manager

2. FINANCIAL ACCOUNTABILITIES

MARY AGNES S. PUSAY BRIGIDA D. ESPEJO AGAPITA N. CAÑETE Head, Acctg. Section/Regional Accountant III Head, Budget Section/AO V Head, Cash Section/AO III

3. PROPERTY ACCOUNTABILITIES

AMADOR Q. TABONES ORVILLCE C. BERINOOIC-Head, Procurement and Supply Section /AA II OIC-Head, Admin. Unit/Administrative Officer II

4. PERSONNEL RECORDS/ PENDING ADMINISTRATIVE CASES

BECE E. OLIVERIO NESTOR B. RAMOSOIC-Head, Personnel Administration Section/AO II Regional Director

Note: This clearance shall be without prejudice to any other accountability that maybe discovered later on and shall be used for its purpose(s) within sixty (60) days upon issuance to/receipt of the official/employee concern otherwise, it shall be rendered invalid.