Barangay ___________________ Dagami,Leyte

Summary of List of Filers

STATEMENT of ASSEST, LIABILITIES and NET WORTH
Calendar Year 2023

CERTIFICATION
(Review and Compliance Committee)

This is to certify that SALNs submitted/included in the Summary List of Filers were reviewed
and found complaint by the Review and Compliance Committee of the Office.

Further, the review was made in accordance with the review and compliance procedure in filling
and submission of SALNs pursuant to CSC memorandum Circular No. 10 s. 2006 (as amended
by CSC Resolution No. 1300455 promulgated on March 4, 2013).

Issued on ___________________, 20_____.

__________________________
Chairperson

_________________________ _________________________
Member Member

SUMMARY LIST OF SALN FILERS OF

BARANGAY ____________________ DAGAMI, LEYTE
 FOR CY 20____

FILLED SALN FILLED SALN

No. EMPLOYEE NAME WITH WITH DID NOT
COMPLETE INCOMLETED FILE SALN
DATA DATA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Prepared By:

_________________________
Barangay Secretary