Attachment C

Republic of the Philippines

Department of Education
Division of South Cotabato
Polomolok East District
BUKAY-EEL ELEMENTARY SCHOOL

CERTIFICATION

This is to certify that the following officials/employees of this Office have failed to submit their
Statement of Assets, Liabilities, and Net Worth and Disclosure of Business Interest and Financial Connection
for the year 2017 as required under Section 8 of the Republic Act No. 6713 as implemented by Memorandum
Circular issued by the Office of the Ombudsman on June 21, 1995.

Name of Officials/Employee Designation/Position Remarks

(in Alphabetical Order)

1. NONE NONE NONE

This certification is being issued for whatever legal purposes it may serve.

Bukay-eel, Landan, Polomolok South Cotabato/March 26,2018

Place and Date of Issuance

FEDELBERT M. MALASUGUI
School Head

SUBSCRIBE AND SWORN TO before me this _______day of______,20_____at____________________

__________________________________________________.

___________________________________
Administrative Officer