PERFORMANCE-BASED BONUS 2020

SCHOOL LEVEL FORM 1.2

Region XII
School Division COTABATO
District (Elem) ALAMADA NORTH
School (Sec)

LIST OF SCHOOL-BASED PERSONNEL* (Teaching, Related-Teaching, Non-Teaching Personnel,ALS/MOBILE TEACHER/DALC)

NAME OF PERSONNEL*
Months in Service
NAME OF in 2020 (For Remarks (Note: 1. For transferees,
SCHOOL ID Monthly Basic
SCHOOL Teaching: June 1, please indicate date of transfer and
(LAST NAME, FIRST NAME, MIDDLE Salary (as of Date of Designation OPCRF/I
UNIQUE ITEM EMPLOYEE Salary Salary 2020-July 31, Date of Last DBP ACCOUNT recipient school; 2. For personnel
NAME) Input Full December 31, Original Position (TIC/ School PCRF
NUMBER NUMBER Grade Step 2021; For non- Promotion Head) NUMBER with leave w/o pay pls indicate
name in Upper Case 2020) 1st Tranche Appointment Rating
Teaching January period covered; 3. For Retired and
NBC No. 579
1, 2020-December Deceased, please indicate date)
31, 2020)

JORDAN, MICHAEL SANTOS SP1-12345-2010 1234567 19 2 47,530.00 12 1/1/2000 6/1/2010 PRINCIPAL-1 SCHOOL HEAD 4.400 5-12345-930-1
BADAK ES 129835 DELACRUZ, JOHN SANTOS TCHR3-123456-1998 4784938 13 1 26,754.00 12 3/28/2000 1/1/2010 TEACHER-3 4.103 5-40357-930-9
SANCHES, SARAH CRUZ ADAS3-12654-2013 2356487 9 1 18,784.00 12 2/1/2019 ADAS-III 3.900 5-63254-930-7
TOTAL NUMBER OF ELIGIBLE SCHOOL-BASED PERSONNEL:
TOTAL NUMBER OF SCHOOL-BASED PERSONNEL
3

SAMPLE
NON-ELIGIBLE PERSONNEL (NO PBB):
DID NOT MEET ON AT LEAST "SATISFACTORY"
PERFORMANCE NONE

DID NOT SUBMIT SALN NONE

DID NOT LIQUIDATE CASH ADVANCE WITHIN THE

REGLEMENTARY PERIOD NONE

DID NOT SUBMIT RPMS IPCRF NONE

TOTAL NUMBER OF NON-ELIGIBLE SCHOOL-BASED

PERSONNEL 0

NOTE:

1. *School-Based Personnel include the teaching, school administration, related teaching, and non-teaching personnel assigned and/or detailed in the schools and community learning center (CLCs) or cluster of schools and/or CLCs. These include
Alternative Learning System (ALS)/mobile teachers, District ALS Coordinators (DALSCs), medical personnel, nurses, administrative and concurrent and/or officer-in-charge in schools/CLCs, who are directly servicing the schools/CLCs and/or whose services are shared by
a cluster of schools/CLCs. These personnel whose plantilla may be lodged in the SDO and/or are stationed in the SDO or in multiple schools/CLCs, but whose nature of work or functions involve learning delivery or support to school operations and management.

2. *Name of personnel shall be arranged according to - first, Salary Grade; second, Salary Step; third, Last Name; and fourth, First name.

I hereby CERTIFY to the correctness of all the data stated in this form and that I have a total number of 3 eligible school-based personeel and total number of 0 non-eligible personnel.

Prepared by: Validated by:

School PBB in-charge School Head

contact number: contact number:
 PERFORMANCE-BASED BONUS 2020
SCHOOL LEVEL FORM 1.2

Region XII
School Division COTABATO
School (Sec) ABCDE NHS
Curricular Offering (JHS or JHS with SHS) : JHS with SHS

LIST OF SCHOOL-BASED PERSONNEL* (Teaching, Related-Teaching, Non-Teaching Personnel,ALS/MOBILE TEACHER/DALC)

NAME OF PERSONNEL

Months in Service Remarks (Note: 1. For

Monthly
in 2020 (For transferees, please indicate
NAME OF SCHOOL SCHOOL ID Basic Salary
Teaching: June 1, Designation date of transfer and recipient
(LAST NAME, FIRST NAME, (as of Date of OPCRF/I
EMPLOYEE Salary Salary 2020-July 31, Date of Last (TIC/ School DBP ACCOUNT school; 2. For personnel with
MIDDLE NAME) UNIQUE ITEM NUMBER December 31, Original Position Head of SY 2020-
PCRF
NUMBER Grade Step 2021; For non- Promotion NUMBER leave w/o pay pls indicate
Input Full name in Upper Case 2020) 1st Appointment 2021) Rating
Teaching January period covered; 3. For Retired
Tranche NBC
1, 2020-December and Deceased, please indicate
No. 579
31, 2020) date)

JORDAN, MICHAEL SANTOS SP1-12345-2010 1234567 19 2 47,530.00 12 1/1/2000 6/1/2010 PRINCIPAL-1 SCHOOL HEAD 4.400 5-12345-930-1
ABCDE NHS (JHS & SHS) 300001 DELACRUZ, JOHN SANTOS TCHR3-123456-1998 4784938 13 1 26,754.00 12 3/28/2000 1/1/2010 TEACHER-3 4.103 5-40357-930-9
SANCHES, SARAH CRUZ ADAS3-12654-2013 2356487 9 1 18,784.00 12 2/1/2019 ADAS-III 3.900 5-63254-930-7
TOTAL NUMBER OF ELIGIBLE SCHOOL-BASED PERSONNEL:
TOTAL NUMBER OF SCHOOL-BASED PERSONNEL
3
NON-ELIGIBLE PERSONNEL (NO PBB):

SAMPLE
DID NOT MEET ON AT LEAST "SATISFACTORY" PERFORMANCE NONE

DID NOT SUBMIT SALN NONE

DID NOT LIQUIDATE CASH ADVANCE WITHIN THE

REGLEMENTARY PERIOD NONE

DID NOT SUBMIT RPMS IPCRF NONE

TOTAL NUMBER OF NON-ELIGIBLE SCHOOL-BASED PERSONNEL 0

NOTE:

1. *School-Based Personnel include the teaching, school administration, related teaching, and non-teaching personnel assigned and/or detailed in the schools and community learning center (CLCs) or cluster of schools and/or CLCs. These include Alternative
Learning System (ALS)/mobile teachers, District ALS Coordinators (DALSCs), medical personnel, nurses, administrative and concurrent and/or officer-in-charge in schools/CLCs, who are directly servicing the schools/CLCs and/or whose services are shared by a cluster of
schools/CLCs. These personnel whose plantilla may be lodged in the SDO and/or are stationed in the SDO or in multiple schools/CLCs, but whose nature of work or functions involve learning delivery or support to school operations and management.

2. *Name of personnel shall be arranged according to - first, Salary Grade; second, Salary Step; third, Last Name; and fourth, First name.

I hereby CERTIFY to the correctness of all the data stated in this form and that I have a total number of 3 eligible school-based personeel and total number of 0 non-eligible personnel.

Prepared by: Validated by:

School PBB in-charge School Head

contact number: contact number: