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Clearance Form - Central Office
HLURB central office clearance form
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: HLURB.CO.0002.01
Republic of the Philippines
Office of the President
Housing and Urban Development Coordinating Council
HOUSING AND LAND USE REGULATORY BOARD
CLEARANCE
Date: __________________
Office: __________________
Name of Employee Requesting Clearance:
Position:
Salary:
P__________ per month
Purpose: (Retirement, Resignation, etc.)
Effectivity Date:
Signature:
This certifies that the above-named employee is cleared
from money, property and/or other accountabilities by this Board
Cash Services Section – Admin Division:
______________________________________
Cashier
Date Signed: _______________
Finance Division
______________________________________
Head / Chief Accountant
Date Signed: _______________
Human Resource Management Section –
Administrative Division:
Last day of Service _______________________
Total Leave Credits Earned ________________
As of __________________________________
_______________________________________
Chief Administrative Officer
Date Signed: _______________
Legal Services Group:
Pending Admin. Case as per Records:
______________________________________
______________________________________
______________________________________
Director / Head
Date Signed: _______________
Date of Clearance:
______________________________________
Immediate Supervisor where assigned
Date Signed: _______________
______________________________________
Supervising Commissioner
Date Signed: _______________
Other Services:
______________________________________
Head, General Services Section – Admin. Division
Date Signed: _______________
______________________________________
Head, Records & Information Section
Date Signed: _______________
______________________________________
OIC, Library - General Services Section –
Admin. Division
Date Signed: _______________
______________________________________
Chief Operating Officer, Provident Fund
Date Signed: _______________
______________________________________
General Manager, Multi-Purpose Cooperative
Date Signed: _______________
APPROVED:
ANTONIO M. BERNARDO
Chief Executive Officer and Commissioner
HLURB Bldg. Kalayaan Avenue corner Mayaman Street, Diliman, Quezon City
www.hlurb.gov.ph
