SERVICE RECORD

(To be accomplished by the Employer)

Name

ARENAS
Surname

JOANNE
Name

FERNANDEZ
Middle Name

April 25, 1980

Date

Birth

SERVICE
(Inclusive Dates)
From

To

03-18-08
07-01-08
07-01-09
06-24-10
06-01-11
12-26-11
06-01-12
02-14-13

06-30-08
06-30-09
06-23-10
05-31-11
12-25-11
05-31-12
02-13-13
Present

Tayug, Pangasinan
Place

RECORD OF APPOINTMENT
Designation
Status
Salary
Teacher-I
-do-do-do-doTeacher-II
-doTeacher-III

(1)
Permanent
-do-do-do-do-do-do-do-

(2)
P 131,196.00
144,312.00
170,376.00
187,788.00
205,188.00
219,996.00
239,280.00
257,232.00

If married woman, give also

full maiden name.
Date herein should be checked
from birth or baptismal certificate
or other reliable documents.

OFFICE/ENTITY/DIVISION
Station/Place of
Branch
Assignment
(3)
DepED, Tayug I, Pang.
Nat. (M)
-do-do-do-do-do-do-do-do-do-do-do-do-do-do-

Leave of
Absence
without Pay
None
-do-do-do-do-do-do-do-

JOANNE F. ARENAS
Employee
Certified Correct:
ROGER G. REBOLLOS
Principal-III
Noted:
ARVIN R. PURISIMA
Division Administrative Officer V

SEPARATION
Date

Cause