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Republic of the Philippines Department of Education Region III-Central Luzon Tarlac City Schools Division BALIBAGO PRIMERO

Republic of the Philippines Department of Education Region III-Central Luzon

Tarlac City Schools Division

BALIBAGO PRIMERO INTEGRATED SCHOOL

Republic of the Philippines Department of Education Region III-Central Luzon Tarlac City Schools Division BALIBAGO PRIMERO

Balibago Primero, Tarlac City

S E R V I C E

R E C O R D

ADOR

LACSINA

ISIP

000000

(Given name)

(Middle Name)

(Surname)

DECEMBER 04, 1989 _

CAPAS, TARLAC

_____

(Date of Birth)

Place of Birth)

(if married woman, give also maiden name)

(Date herein should be checked from Birth

Certificate of other reliable documents)

This is to certify that the employee named herein above actually rendered services in this Office as shown by the service record below, each line of which supported by appointment and other papers actually issued by authorities concerned.

SERVICE

   

Divisio

 

Inclusive Dates

RECORD OF APPOINTMENT

Entity/ Office Station/

n

Leave of

Place of Assignment

Branch

Absence w/o Pay

From

To

Designation

Status

Salary

12-15-

             

15

Present

Teacher I

R. Perm.

222,588.00

BalibagoPrimero IS

N-M

None

Issued in compliance with Executive Order No. 54 dated August 10, 1954 and in accordance with Circular No. 58 dated August 10, 1954 of the system.

Purpose: _____ERF______________

Date:

_FEBRUARY 3, 2017 ______

Certified True and Correct:

JOLIE M. INTAL

Principal

Republic of the Philippines Department of Education Region III-Central Luzon Tarlac City Schools Division BALIBAGO PRIMERO

Republic of the Philippines Department of Education Region III-Central Luzon Tarlac City Schools Division

BALIBAGO PRIMERO INTEGRATED SCHOOL

Republic of the Philippines Department of Education Region III-Central Luzon Tarlac City Schools Division BALIBAGO PRIMERO

BalibagoPrimero, Tarlac City

S E R V I C E

R E C O R D

(To be accomplished by Employer)

PAYABYAB

JOVELYN

GRAGASIN

(if married woman, give also maiden name)

(Surname

(Given name)

(Middle Name)

________________

(Maiden name)

)

MARCH 13,

TARLAC, TARLAC ____

 

(Date herein should be checked from Birth

_

(Date of Birth)

(Place of Birth)

Certificate of other reliable documents)

This is to certify that the employee named herein above actually rendered services in this Office as shown by the service record below, each line of which supported by appointment and other papers actually issued by authorities concerned.

   

Entity/ Office

Entity/ Office
Entity/ Office

Divisio

Leave of

SERVICE

Inclusive Dates

RECORD OF APPOINTMENT

Station/

n

Absence w/o

 
Place of Assignment Branch Pay

Place of Assignment

Branch

Branch

Pay

   

Designatio

         

From

To

n

Status

Salary

05-15-14

06-14-15

Teacher I

R. Perm.

222,588.00

San Nicolas E/S

N-M

None

06-15-15

Present

Teacher I

R. Perm.

222,588.00

BalibagoPrimero IS

N-M

None

Issued in compliance with Executive Order No. 54 dated August 10, 1954 and in accordance with Circular No. 58 dated August 10, 1954 of the system.

Purpose: _____ERF______________

Date:

_JANUARY 5, 2017 ______

Certified True and Correct:

JOLIE M. INTAL

Principal