TO THE NATIONAL FOOD AUTHORITY:
I HEREBY APPLY FOR CLEARANCE FROM MONEY, PROPERTY AND/OR
OTHER ACCOUNTABILITIES:
Name of Applicant _______________________________ Office ___________________________
Position_________________ Status of Employment___________ Salary/Wage________________
Purpose_______________________________________________________________________
(Include duration of leave/date of separation from NFA service)
________________________
Signature of Applicant
________________________________________________________________________________ |
NO PENDING ADMINISTRATIVE AND/OR !
CRIMINAL/CIVIL CASE PER RECORDS AS OF: !
! Reg'l/Prov'l Investigator
________________________________________________________________________________ |
THIS CERTIFIES THAT THE ABOVE NAMED EMPLOYEE IS CLEARED
FROM MONEY, PROPERTY AND/OR OTHER ACCOUNTABILITIES BY THIS
AUTHORITY.
______________________________
Reg'l/Prov'l Administrative Officer
_____________________________
Reg'l/Prov'l Accountant
________________________________________________________________________________
APPROVED FOR THE AUTHORITY ! Date of Clearance:
!
!
REGIONAL DIRECTOR/PROVINCIAL MANAGER ! |