Republic of the Philippines

Department of Education
Region IV-MIMAROPA
DIVISION OF OCCIDENTAL MINDORO
Mamburao

S E R V I C E R E C O R D
(To be accomplished by employer)

NAME: GARCIA KERVIN L. ( If married woman give also

(Last Name) (Given name) (Middle Name) full maiden name. )

BIRTH 06-27-91 SAN JOSE,OCCIDENTAL MINDORO (Data herein should be

(Date) (Place) checked from birth of
baptismal certificate or

THIS IS TO CERTIFY THAT the employee name herein above actually rendered service in this office as shown
by the service record below each line of which is supported by the appointment and other papers actually issued by this office
approved by the authorities concerned.
SERVICE RECORD OF APPOINTMENT OFFICE/ENTITY/DIVISION
DESIG- LEAVE OF
INCLUSIVE DATES STATION OF
NATION STATUS SALARY GRADE STEP BRANCH ABSENCE W/O PAY
FROM TO ASSIGNMENT
02-09-16 12-31-16 Teacher I Reg. P 19,077.00 11 1 San Jose North Nat.
01-01-17 12-31-17 -do- -do- 19,620.00 11 1 -do- -do-
01-01-18 12-31-18 -do- -do- 20,179.00 11 1 -do- -do-
01-01-19 12-31-19 -do- -do- 20,754.00 11 1 -do- -do-
01-01-20 12-31-20 -do- -do- 22,316.00 11 1 -do- -do-
01-01-21 03-27-21 -do- -do- 23,877.00 11 1 -do- -do-
03-28-21 Resigned -do- -do- 23,877.00 11 1 -do- -do-
***NOTHING FOLLOWS***

Employee No: ___________________

Purpose: ___________________

Issued in compliance with Executive Order No. 54 dated August 10, 1954 and in accordance with Circular No. 38,
dated August 10, 1954 of the System.

04-07-21 Certified Correct:

Date
DENNIS MICHAEL G. ABELEDA, PhD
*Not VALID without Dry Seal* Administrative Officer V
nmm