For

CS Form No. 34-C Regulated Local Governmen

Revised 2017

(Stamp of Date of Rece

Republic of the Philippines

(Name of Agency)

PLANTILLA OF CASUAL APPOINTMENTS

Department/Office: Municipal Planning Development Office Source of Funds: _____________________________

INSTRUCTIONS:
(1) Only a maximum of fifteen (15) appointees must be listed on each page of the Plantilla of Casual Appointments.
(2) Indicate ‘NOTHING FOLLOWS’ on the row following the name of the last appointee on the last page of the Plantilla.
(3) Provide proper pagination (Page n of n page/s)."

ACKNOWLEDGEMENT OF
NAME OF APPOINTEE/S EQUIVALEN PERIOD OF EMPLOYMENT
POSITION TITLE APPOINTEE
T SALARY/
(Do not abbreviate) MONTHLY
Name JOB/ PAY
From To
Last Name First Name Extension Middle Name GRADE Signature Date Received
(mm/dd/yyyy) (mm/dd/yyyy)
(Jr/III)
1 AMON LEONCIO Administrative Aide - Driver 1 10,000.00 7/1/2022 12/31/2022
2 FUENTES SHAINE B Administrative Aide - Computer Engineering 1 10,000.00 7/1/2022 12/31/2022
3 NUYDA JAYDEELENE PUNZALAN Administrative Aide - Computer Engineering 1 10,000.00 7/1/2022 12/31/2022
4 OCAMPO SIMEONA T Administrative Aide- Clerk 1 10,000.00 7/1/2022 12/31/2022
5 PARRA DAVEY JOHN SAYO Administrative Aide - Clerk 1 10,000.00 7/1/2022 12/31/2022
6 SARINO JACQUELYN PUNZALAN Administrative Aide- Clerk 1 10,000.00 7/1/2022 12/31/2022
7 TAYCO ANN CHRISTINE REYES Administrative Aide - Computer Engineering 1 10,000.00 7/1/2022 12/31/2022
8 TOLENTINO RYAN CHRISTIAN POBLETE Administrative Aide - Driver 1 10,000.00 7/1/2022 12/31/2022
9
10
11
12
13
14
15
The abovenamed personnel are hereby hired/appointed as casuals at the rate of compensation stated opposite their names for the period indicated. It is understood that such employment will cease automatically at the end of the period stated unless renewed. Any or all of them may be laid-off any time before the expiration of the emp
when their services are no longer needed or funds are no longer available or the project has already been completed/finished or their performance are below par.

CERTIFICATION CERTIFICATION CERTIFICATION AND SIGNATURE OF CSC NOTATION

APPOINTING OFFICER / AUTHORITY

This is to certify that all requirements and supporting This is to certify that funds are available pursuant to This is to certify that all pertinent
papers pursuant to CSC MC No. 24, s. 2017, as Appropriation Ordinance No. _______series of _______. provisions of Sec. 325 of RA 7160
amended, have been complied with, reviewed and (Local Government Code of 1991)
found in order. have been complied with in the
issuance of appointments of the
above-mentioned persons.
_____________________________
HRMO Accountant Governor/Mayor/Vice-Governor/Vice-Mayor CSC Official

Date : Date : Date: Date: ______________________