University clearance

The Health Sciences Center

8^th Floor, PGH Building, Taft Avenue, Manila

UNIVERSITY CLEARANCE

Certificate of clearance issued to _______________________, College of ____________ for his/her compulsory retirement on ___________________ for having been cleared of money, property, and/or other accountabilities and with no pending administrative case in this University.

VIRGINIA P. LUMABAS

Acting Head, HRDO
Attested by:

Evelyn A. Yan

Administrative Officer IV
OFFICE: CLEARED AS OF:
University Library (UPM/UPD) - _______

Staff Housing & Business Cooperative (UPD) - _______

Credit Union (UPD) - _______

Bayanihan Cooperative (PGH) - _______

Accounting Office (UPM) - _______

Accounting Office (PGH) - ________

Property & Supply Office (UPM) - ________

Property & Supply Office (PGH ) - ________

Legal Office (UPM) - ________

Office of the University Registrar (for faculty only) - ________

Alumni Relations Office (for faculty only) - ________

Provident Fund Office (UPM) - ________

National Institute of Health (for faculty only) - ________

OASH (UPM) - _______