Annex C

Date:___________________

Ms. ELVIRA R. FLORES, MNSA, CESE

City Human Resource Development Officer
Human Resource and Development Office

Thru: SALN Review and Compliance Committee

Dear Ms. Flores:

Respectfully transmitting herewith the individual Sworn Statement of Assets, Liabilities and Net
Worth (SALN) forms for C.Y. 2023 of the following city government officials / employees under this
office, in compliance with your memorandum dated January 16, 2023 pertaining thereto.

NAME STATUS OF APPOINTMENT

(in alphabetical order)
(Format: Surname, First Name, Middle) (e.g. permanent/ Co-terminus)

Meanwhile, the following staff of this office failed to submit their respective SALN:

NAME STATUS OF APPOINTMENT

(in alphabetical order)
(Format: Surname, First Name, Middle) (e.g. permanent/ Co-terminus)

For your information and review:

Prepared and submitted by:

___________________________ ____________________________
HR Coordinator HR Coordinator

Noted by:
_______________________
Head of Office