CS FORM 127

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REGION 02
DIVISION OF ISABELA
ILAGAN

SERVICE RECORD
(To be accomplished by the Employer)

Name: GAMIT GINALYN S. (If married woman, give also full maiden name)
(Surname) (Given Name) (Maiden name)

Birth: 1/12/1979 STA.FILOMENA, SAN MARIANO, ISABELA (Date herein should be checked from birth
(Date) (Place) or Baptisimal 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 actualy issued by this Office and
approved by the authorities concerned.

Service Record of Appointment Office LV ABS

(Inclusive Dates) ENTITY/DIVISION W/O PAY SEPARATION
From To Designation Status Salary Station/Place Branch
1 2 of Assignment 3 Date Cause
06/18/07 06/30/07 T-1 reg. 131196.00 San Mariano
07/01/07 06/30/08 T-1 reg. 131196.00 San Mariano
07/01/08 06/30/09 T-1 reg. 144312.00 San Mariano
07/01/09 06/30/10 T-1 reg. 170376.00 San Mariano
07/01/10 06/30/11 T-1 reg. 170376.00 San Mariano
07/01/12 06/30/13 T-1 reg. 222588.00 San Mariano
0715/2013 PRESENT T-III reg. 257232.00 San Mariano

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.

Prepared and Certified Correct:

LOUJANE ANGOLUAN
Human Resource Management Officer I
MARILOU V. ROSELLA
Principa - ll/School Head
 SUSAN MARIE B. VENTURA, Ph.,D.
Administrative Officer V

CS FORM 127
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
REGION 02
DIVISION OF ISABELA
ILAGAN

SERVICE RECORD
(To be accomplished by the Employer)

Name: GUZMAN SHERYL GUMIRAN (If married woman, give also full maiden name)
(Surname) (Given Name) (Maiden name)

Birth: 11/11/1982 Benito Soliven, Isabela (Date herein should be checked from birth
(Date) (Place) or Baptisimal 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 actualy issued by this Office and
approved by the authorities concerned.

Service Record of Appointment Office LV ABS

(Inclusive Dates) ENTITY/DIVISION W/O PAY SEPARATION
From To Designation Status Salary Station/Place Branch
1 2 of Assignment 3 Date Cause
01/01/03 03/31/03 T-1 Casual 5500.00 San Mariano
07/08/04 12/21/04 T-1 Casual 5500.00 San Mariano
01/17/05 03/31/05 T-1 Casual 5500.00 San Mariano
06/08/05 12/16/05 T-1 Casual 5500.00 San Mariano
01/04/06 03/31/06 T-1 Casual 5500.00 San Mariano
04/03/06 06/30/07 T-1 Reg. 119268.00 San Mariano
07/01/07 06/30/08 T-1 reg. 131196.00 San Mariano
07/01/08 06/30/09 T-1 reg. 144312.00 San Mariano
07/01/09 06/30/10 T-1 reg. 170376.00 San Mariano
07/01/10 06/30/11 T-1 reg. 170376.00 San Mariano
07/01/12 06/30/13 T-1 reg. 222588.00 San Mariano
07/01/14 09/01/14 T-1 reg. 222588.00 San Mariano
09/01/14 PRESENT T-III reg. 257232.00 San Mariano

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.

Prepared and Certified Correct:

MARILOU V. ROSELLA
Principa - ll/School Head

SERVICE RECORD
(To be accomplished by the Employer)

Name: DIZON BYRON C. (If married woman, give also full maiden name)
(Surname) (Given Name) (Maiden name)

Birth: 5/28/1979 San Mariano, Isabela (Date herein should be checked from birth
(Date) (Place) or Baptisimal 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 actualy issued by this Office and
approved by the authorities concerned.

Service Record of Appointment Office LV ABS

(Inclusive Dates) ENTITY/DIVISION W/O PAY SEPARATION
From To Designation Status Salary Station/Place Branch
1 2 of Assignment 3 Date Cause
11/03/04 06/30/07 T-I Reg. 9939.00 Sta. Filomena I/S
07/01/07 06/30/08 T-I Reg. 10, 933.00 Sta. Filomena I/S
07/01/08 06/30/09 T-I Reg. 12, 026.00 Sta. Filomena I/S
07/01/09 06/30/10 T-I Reg. 14, 198.00 Sta. Filomena I/S
07/01/10 05/30/11 T-I Reg. 15, 649.00 Sta. Filomena I/S
06/01/11 05/30/12 T-I Reg. 17, 099.00 Sta. Filomena I/S
06/01/12 09/01/12 T-I Reg. 18, 459.00 Sta. Filomena I/S
10/01/12 06/01/13 T-I Reg. 18, 922.00 Sta. Filomena I/S
07/01/13 12/01/13 T-I Reg. 18, 922.00 Sta. Filomena I/S
01/01/14 02/01/16 T-I Reg. 18, 922.00 Sta. Filomena I/S
03/01/16 Present T-I Reg. 19, 496.00 Sta. Filomena I/S
 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.

Prepared and Certified Correct:

LOUJANE ANGOLUAN
Human Resource Management Officer I
MARILOU V. ROSELLA
Principal - ll/School Head

SUSAN MARIE P. BARTOLOME, Ph.D.

Administrative Officer V