CASA MARIE LEARNING INSTITUTE, INC.

PANCIL OBOGON, TANJAY CITY, NEGROS ORIENTAL

(035) 415-3406

SERVICE RECORD
(To be accomplished by Employer)

NAME: CALUMPANG, ARTURO VICENTE BERNAS (If married woman, give all full maiden
(Last Name) (Given Name) (Middle Name) name)
BIRTH: AUGUST 6, 1990 DUMAGUETE CITY (Data herein should be checked from the
(Date) (Place) birth or baptismal certificate or some
other reliable documents.)

This is to certify that the employee named hereinabove actually rendered

services in this office as shown by the record below, each line of which is
supported by appointment and the other papers actually issued by this Office and
approved by the authorities concerned.

SERVICE SEPARATION
RECORD OF APPOINTMENT OFFICE ENTITY/DIV. L/V
(Inclusive Dates) ABS 4
Status Salary Station/Place of Branch W/O
From To Designation PAY Date Cause
1 2 assignment 3

OCTOBERPresent Classroom Regular 6,500.00 Casa Marie

2019 Teacher Learning Institute,
Inc.

x-x-x-x-x-x NOTHING FOLLOWS -x-x-x-x-x-x

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.
CERTIFIED CORRECT:
January 30, 2020 Marilou Z. Dael
Date School Head
 CASA MARIE LEARNING INSTITUTE, INC.
PANCIL OBOGON, TANJAY CITY, NEGROS ORIENTAL
(035) 415-3406

SERVICE RECORD
(To be accomplished by Employer)

NAME: ACAS, ALDWIN FRED SORNILLO (If married woman, give all full maiden
(Last Name) (Given Name) (Middle Name) name)
BIRTH: JUNE 8, 1992 TANJAY CITY (Data herein should be checked from the
(Date) (Place) birth or baptismal certificate or some
other reliable documents.)

This is to certify that the employee named hereinabove actually rendered

services in this office as shown by the record below, each line of which is
supported by appointment and the other papers actually issued by this Office and
approved by the authorities concerned.

SERVICE SEPARATION
RECORD OF APPOINTMENT OFFICE ENTITY/DIV. L/V
(Inclusive Dates) ABS 4
Status Salary Station/Place of Branch W/O
From To Designation PAY Date Cause
1 2 assignment 3

October December Classroom Part-time 4,000.00 Casa Marie

2015 2015 Teacher Learning Institute,
Inc.
January Present Classroom Regular 6,000.00 Casa Marie
2016 Teacher Learning Institute,
Inc.

x-x-x-x-x-x NOTHING FOLLOWS -x-x-x-x-x-x

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.
CERTIFIED CORRECT:
January 30, 2020 Marilou Z. Dael
Date School Head
 CASA MARIE LEARNING INSTITUTE, INC.
PANCIL OBOGON, TANJAY CITY, NEGROS ORIENTAL
(035) 415-3406

SERVICE RECORD
(To be accomplished by Employer)

NAME: BINGHAY, LUDY GRACE MAGAYA (If married woman, give all full maiden
(Last Name) (Given Name) (Middle Name) name)
BIRTH: JULY 27, 1992 DUMAGUETE CITY (Data herein should be checked from the
(Date) (Place) birth or baptismal certificate or some
other reliable documents.)

This is to certify that the employee named hereinabove actually rendered

services in this office as shown by the record below, each line of which is
supported by appointment and the other papers actually issued by this Office and
approved by the authorities concerned.

SERVICE SEPARATION
RECORD OF APPOINTMENT OFFICE ENTITY/DIV. L/V
(Inclusive Dates) ABS 4
Status Salary Station/Place of Branch W/O
From To Designation PAY Date Cause
1 2 assignment 3

June Present Classroom Regular 6,500.00 Casa Marie

2018 Teacher Learning Institute,
Inc.

x-x-x-x-x-x NOTHING FOLLOWS -x-x-x-x-x-x

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.
CERTIFIED CORRECT:
January 30, 2020 Marilou Z. Dael
Date School Head
 CASA MARIE LEARNING INSTITUTE, INC.
PANCIL OBOGON, TANJAY CITY, NEGROS ORIENTAL
(035) 415-3406

SERVICE RECORD
(To be accomplished by Employer)

NAME: TORRES, CAMILLE CADAYDAY (If married woman, give all full maiden
(Last Name) (Given Name) (Middle Name) name)
BIRTH: MAY 1, 1997 TANJAY CITY (Data herein should be checked from the
(Date) (Place) birth or baptismal certificate or some
other reliable documents.)

This is to certify that the employee named hereinabove actually rendered

services in this office as shown by the record below, each line of which is
supported by appointment and the other papers actually issued by this Office and
approved by the authorities concerned.

SERVICE SEPARATION
RECORD OF APPOINTMENT OFFICE ENTITY/DIV. L/V
(Inclusive Dates) ABS 4
Status Salary Station/Place of Branch W/O
From To Designation PAY Date Cause
1 2 assignment 3

June Present Classroom Regular 6,500.00 Casa Marie

2019 Teacher Learning Institute,
Inc.

x-x-x-x-x-x NOTHING FOLLOWS -x-x-x-x-x-x

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.
CERTIFIED CORRECT:
January 30, 2020 Marilou Z. Dael
Date School Head
 CASA MARIE LEARNING INSTITUTE, INC.
PANCIL OBOGON, TANJAY CITY, NEGROS ORIENTAL
(035) 415-3406

SERVICE RECORD
(To be accomplished by Employer)

NAME: BACUS, ALTHEA ANGELICA BERMEJO (If married woman, give all full maiden
(Last Name) (Given Name) (Middle Name) name)
BIRTH: MARCH 22, 1997 TANJAY CITY (Data herein should be checked from the
(Date) (Place) birth or baptismal certificate or some
other reliable documents.)

This is to certify that the employee named hereinabove actually rendered

services in this office as shown by the record below, each line of which is
supported by appointment and the other papers actually issued by this Office and
approved by the authorities concerned.

SERVICE SEPARATION
RECORD OF APPOINTMENT OFFICE ENTITY/DIV. L/V
(Inclusive Dates) ABS 4
Status Salary Station/Place of Branch W/O
From To Designation PAY Date Cause
1 2 assignment 3

June Present Classroom Regular 6,500.00 Casa Marie

2019 Teacher Learning Institute,
Inc.

x-x-x-x-x-x NOTHING FOLLOWS -x-x-x-x-x-x

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.
CERTIFIED CORRECT:
January 30, 2020 Marilou Z. Dael
Date School Head