SERVICE RECORD

Name: SESBINO NORA MAE SERNICULA_ (If married woman, give also full maiden name)
(Surname) (Given) (Middle)

Birth: June 09, 1999 Makalian, Edcor, Buldon, Maguindanao ( Data herein should be checked from Birth
Certificate or other reliable documents.)
(Date) (Place)

THIS IS TO CERTIFY that the employee named herein- above actually rendered services in this Office as
shown by the Service Record below, each which is supported by the appointment and other papers actually issued by this
Office and approved by authorities concerned.

SERVICE Leaves &

RECORD OF APPOINTMENT OFFICE ENTITY Absences
(Inclusive Dates) REMARKS
w/o Pay

FROM TO Designation Status SALARY STATION

05/02//2023 Present Teacher 1 Permanent 324,000.00 Datu Daud Rahman High None NBC 591 s. 2023
School
SDO-SGA

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 by:

JAYVILLE S. SAMBOLAWAN
Acting Division Records

Certified Correct:

MOHIDIN A. SAMPLIDAN
Date: May 8, 2023 Administrative Officer V