ANNEX A

Republic of the Philippines

Department of Education
Division of Negros Occidental
District of ___________
____________________
(School)

This is to certify that the following personnel are not entitled to Mid Year bonus CY 2019 based
on April 2019 regular payroll.

Div. Code Station Code Employee number Employee Name Remarks

Certified correct by:

_____________________
School Head
ANNEX B

Republic of the Philippines

Department of Education
Division of Negros Occidental
District of ___________
____________________
(School Name)

This is to certify that all personnel of ____ (School Name) ______, District of ________, are
entitled of CY 2019 Mid Year Bonus.

Certified by:

________________
School Head