Republic of the Philippines
Region IV-A
Division of Cavite
Abraham And Aysak School Inc.
Imus, Cavite
School ID: 300289 gmail address: AbrahamandAysakSchool@gmail.com CP#: 09082912697
SERVICE RECORD
NAME:__________________________________ (_____________________________)
(Last Name) (Given Name) (Middle Name)
BIRTH: (Date herein should be checked from
(Date) (Place) birth certificates or some other reliable resources)
EMPLOYEE NUMBER: ________ SCHOOLAbraham and Aysak School Inc. ,Cavite.
BP #: _________
This is to certify that the employee named herein above actually rendered service in this office or office as
indicated below each line of which is supported by appointment and other papers actually issued and approved
by the authorities concerned.
SERVICE RECORD OF APPOINTMENT LV. / AB.
Inclusive Dates Designation/ Status Salary Station/Place Branch w/o Pay
SEPARATION REMARKS
Step
From To 1 2 3 4 5 6 Date Cause
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.
Date:
Certified Correct:
____________________
Administrative Officer V