Clearance Form - TP

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REF: UON/CEES/TP/2/7

UNIVERSITY OF NAIROBI
COLLEGE OF EDUCATION AND EXTERNAL STUDIES
DEPARTMENT OF EDUCATIONAL COMMUNICATION & TECHNOLOGY

TEACHING PRACTICE CLEARANCE CERTIFICATE


(To be filled in duplicate. The student – teacher keeps the original
and the school keeps the copy)

FOR THE PERIOD ___________________________ TO _________________________________

NAME ______________________________________ SCHOOL _____________________________

REG. NO. ____________________________________ TERM _______________________________

This is to confirm that Miss/Mr/Mrs. _____________________________________________________


Has returned the following school property borrowed from the school during Teaching Practice
Session.

NAME OF ITEM SIGNATURE OF THE DATE


RECEIVING OFFICER

1. ___________________________ _____________________________ ___________________

2. ___________________________ _____________________________ ___________________

3. ___________________________ _____________________________ ___________________

4. ___________________________ _____________________________ ___________________

5. ___________________________ _____________________________ ___________________

6. ___________________________ _____________________________ ___________________

7. ___________________________ _____________________________ ___________________

8. ___________________________ _____________________________ ___________________

9. ___________________________ _____________________________ ___________________

10. ___________________________ _____________________________ ___________________


I certify that the student – teacher has/has not returned all items loaned to his/her by the
school.
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1. School Bursar ____________________________ Date __________________


Rubber Stamp Signature

2. School Librarian ____________________________ Date __________________


Rubber Stamp Signature

3. Cooperating Teacher ____________________________ Date __________________


Rubber Stamp Signature

4. Headmaster ____________________________ Date __________________


Rubber Stamp Signature

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