Chart Title

1/11/1900

1/9/1900

1/7/1900

1/5/1900

1/3/1900

1/1/1900

12/30/1899
06/29/2020

To 12/31/2017 12/31/2018 12/31/2019 06/28/20 RECORDS OF APPOINTMENT Designation Teacher 1 " " "
Status (1) Reg(P) " " " Salary 235,440.00 242,148.00 252, 456.00 P 252,456.00
OFFICE ENTITY/DIVISION Station/Place of Assignment Matara HS " " " BRANCH (3) Nat. " " "
LV/ ABS W/O PAY SEPARATION (4) Date
Cause Remarks Orig. Appt. NBC # 572 NBC # 575 NBC
 Republic of the Philippines
Department of Education
Region V
DIVISION OF ALBAY
Legazpi City

SERVICE RECORD
(To Be Accomplished by Employer)
(Follow Instructions at the Back)
NAME CALLOS JEROME BARREDO
(Surname) (Given) (Middle Name) (If married woman, give also full maiden

name)

BIRTH October 23, 1991 POLANGUI, ALBAY (Date herein should be checked from birth

(Date of Birth) (Place of Birth) or baptismal certificate or some 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 is supported by appointment
and other papers actually issued by this Office and approved by the authorities concerned:

SERVICE RECORDS OF APPOINTMENT OFFICE ENTITY/DIVISION LV/ ABS SEPARATION

(Inclusive Dates) Status Salary Station/Place BRANCH W/O PAY (4) Remarks
From To Designation (1) of Assignment (3) Date Cause
06/29/2017 12/31/2017 Teacher 1 Reg(P) 235,440.00 Matara HS Nat. Orig. Appt.
1/1/2018 12/31/2018 " " 242,148.00 " " NBC # 572
1/1/2019 12/31/2019 " " 252, 456.00 " " NBC # 575
1/1/2020 06/28/20 " " P 252,456.00 " " NBC
06/29/2020 12/31/2020 " " 271, 200.00 " " STEP 2
1/1/2021 TO PRESENT " " 289, 932.00 " " NBC#584
XXXXXXX NOTHING FOLLOWS XXXXXXX

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
GSIS REG>POLICY NO>

PURPOSE NOSI
PREPARED BY ANTERO S. BUIZA
JEROME B. CALLOS Chief or Head of Office

CHECKED & VERIFIED BY: Administrative Officer V

Conforme: Designation
JENIVE BEATO-YNGENTE JEROME B. CALLOS
Administrative Assistant II
 INSTRUCTIONS

1. Status may either be probational, permanent, temporary, emergency, or substitute.

2. Salary may be either daily, monthly, or annually whatever the appointment shows
as the basic salary excluding bonuses or allowances or supplementary salaries
abbroad.

3. Branch may be either municipal, city provincial or national depending on which

entity pays salary

4. Separation may be either resignation, retirement (state what law), dropped laid
off, dismissal, suspension, or expiration or appointment.

All dates should show Year, Month and Day

--------------o0o-------------

WARNING

All false statement in this application or misrepresentation of facts relative thereto

is a violation of the law punishable by a fine of not more than P 1,000.00 or imprisonment of not
more than one year, or both such fine and imprisonment at the discretion of the court, besides
disqualification from holding office or practicing any profession or calling licensed by the Government
(Section 29 Commonwealth Act No. 186, as amended).