2022 PBB Form 1.0

INSTRUCTIONS
DO NOT EDIT IN THIS FILE. PLEASE DOWNLOAD FIRST THEN EDIT.

SHEET 1 : Form 1.0
Please fill-out the informations:
Department/Agency: DEPARTMENT OF EDUCATION
Regional Office: REGION
School Division Office: SDO
Total Agency Score: 75 (DepEd Score)
Rate of the PBB (%): 48.8% (PBB Percentage)
Total Number of Authorized Positions as of December 31, 2022: Kindly refer to PSIPOP as of Dec. 31, 2022
Total Number of Filled Positions as of December 31, 2022 Kindly refer to PSIPOP as of Dec. 31, 2022
A. Total Number of Officials and Employees Entitled to Full Rate of the PBB : Kindly refer to Supplemental Repor
Amount Required for Payment of the PBB (A): Kindly refer to Supplemental Report Sheet
B. Total Number of Officials and Employees Entitled to Pro-Rate of the PBB: Kindly refer to Supplemental Report
Amount Required for Payment of the PBB (B): Kindly refer to Supplemental Report Sheet
C. Total Number of Officials and Employees Disqualified from PBB: Kindly refer to Supplemental Report Sheet
Total Monthly Salary of Disqulified Personnel(C): Kindly refer to Supplemental Report Sheet
SHEET 2: SUPPLEMENTAL REPORT
Separate name of employees in three (3) categories:
A. List of Personnel Entitled to the FULL-RATE of the PBB
B. List of Personnel Entitled to the PRO-RATED share of the PBB
C. List of Personnel DISQUALIFIED from grant of the PBB
Fill out the following details:
Name of Employee: please use LAST NAME, FIRST NAME SUFFIX (if any) MIDDLE NAME Format (ex. DELA
Salary Grade: Employee's SG in 2022
Salary Step: Employee's SG Step in 2022
Monthly Basic Salary: (Auto-compute upon entry of Salary Grade and Step)
Months in Service in FY 2022
Amount of PBB (Auto-compute upon entry of Salary Grade, Step and Months in Service)
A. Total Amount of the FULL RATE Grant of PBB:
Total Number of Personnel with FULL RATE GRANT of PBB
B. Total Amount of the PRO-RATED Share Grant of PBB:
Total Number of Personnel with PRO-RATED GRANT of PBB
Reason for PRO-RATED GRANT of PBB: Please specify reason including effective dates (if any)
C. Total Monthly Salary of Personnel DISQUALIFIED from PBB:
Total Number of Personnel DISQUALIFIED from PBB:
Reason for Disqualification from PBB Grant Please specify reason including effective dates (if any)
Additional details
For school-based
SCHOOL ID
NAME OF SCHOOL
DIVISION
For school-based
DIVISON ID
DIVISION
For regional offices
REGION NO.
REGION NAME
For any clarifications, please contact Ms. Jam Sy:

Mobile 0921-966-9975
Landline 8633-9345
Email jam.sy@deped.gov.ph
Thank you.
Dec. 31, 2022
o Supplemental Report Sheet
o Supplemental Report Sheet
mental Report Sheet
ME Format (ex. DELA CRUZ, JUAN JR DALISAY)

REPORT ON ELIGIBILITY OF AGENCY
FOR THE GRANT OF THE FY 2022
(Form 1.0)

Regional Office
School Division Office
Summary of Information Required

Total Agency Score: 75
Rate of the PBB (%): 48.8%
Total Number of Authorized Positions as of December 31, 2022 (please refer to your PSIPOP as of Dec. 31, 2022)
Total Number of Filled Positions as of December 31, 2022 (please refer to your PSIPOP as of Dec. 31, 2022)
Particulars (as indicated in Supplemental Report)

A.
Total Number of Officials and Employees Entitled to Full Rate of the PBB
Amount Required for Payment of the PBB (A):
B.
Total Number of Officials and Employees Entitled to Pro-Rate of the PBB
Amount Required for Payment of the PBB (B):
C.
Total Number of Officials and Employees Disqualified from PBB
Total Monthly Salary of Disqulified Personnel(C):
Total Numbers of Officials and Employees Entitled to the PBB (A+B):

Total Amount Required for the payment of the PBB (A+B): -
4 of 25 FY 2021 PBB_SDO
SUPPLEMENTAL REPORT
DELIVERY UNIT
Months in Monthly Basic

NAME OF EMPLOYEE Salary Salary Service in FY Salary
No. SCHOOL ID NAME OF SCHOOL DIVISION Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022 (as of December
31, 2022)
1 0 MATI CITY 11 1 9 25,439.00 12,401.51

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
5 of 25 FY 2021 PBB_SCHOOL
DELIVERY UNIT

31, 2022)
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
DELIVERY UNIT

31, 2022)
89
90
91
92
93
94
95
96
97
98
99
100
x A. Total Amount of the FULL RATE Grant of PBB: 12,401.51
100 A. Total Number of Personnel with FULL RATE GRANT of PBB 100

DELIVERY UNIT
Months in Monthly Basic Reason for the Grant of pro-
NAME OF EMPLOYEE Salary Salary Service in FY Salary rated PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022 (as of December (Newly hired, Retired,
31, 2022) Resigned etc.)
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
DELIVERY UNIT

31, 2022)
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
x B. Total Amount of the PRO-RATED Share Grant of PBB: 0.00
45 B. Total Number of Personnel with PRO-RATED GRANT of PBB 45

DELIVERY UNIT
No. SCHOOL ID NAME OF SCHOOL DIVISION Reason for Disqualification
31, 2022)
1 RENDERED LESS THAN
2 THREE (3) MONTHS OF
3 SERVICE
-
1 X DID NOT SUBMIT
2 X SALN
3 X
-
1 X DID NOT LIQUIDATE
2 X CASH ADVANCE WITHIN
3 X REGLEMENTARY PERIOD
-
1 X DID NOT SUBMIT
2 X RPMS FORMS
3 X
-
1 X OTHERS
DELIVERY UNIT

31, 2022)
2 X (PLEASE SPECIFY)
3 X
-
x C. Total Monthly Salary of Personnel DISQUALIFIED from PBB: -
15 C. Total Number of Personnel DISQUALIFIED from PBB: 15
Prepared by: Certified Correct by: Approved by:
Signature over printed name Signature over printed name Signature over printed name
RO PMT Secretariat RO PMT Chair Regional Director
SUPPLEMENTAL REPORT
DELIVERY UNIT
No. SCHOOL ID NAME OF SCHOOL DIVISION (as of December Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022
31, 2022)
1 0 MATI CITY 11 1 9 25,439.00 12,401.51
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
DELIVERY UNIT
31, 2022)
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
DELIVERY UNIT
31, 2022)
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

DELIVERY UNIT
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022 (as of December (Newly hired, Retired,
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DELIVERY UNIT
31, 2022)
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

DELIVERY UNIT
No. SCHOOL ID NAME OF SCHOOL DIVISION Reason for Disqualification
31, 2022)
3 SERVICE
-
1 X DID NOT SUBMIT
2 X SALN
3 X
-
DELIVERY UNIT
31, 2022)
-
1 X DID NOT SUBMIT
2 X RPMS FORMS
3 X
-
1 X OTHERS
3 X
-
SUPPLEMENTAL REPORT
DELIVERY UNIT
No. (e.g., DELA CRUZ, JUAN DALISAY) DIVISON ID DIVISION Grade Step 2022 (as of December Amount of PBB
31, 2022)
1 0 11 1 9 25,439.00 12,401.51
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
DELIVERY UNIT
31, 2022)
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
DELIVERY UNIT
31, 2022)
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

DELIVERY UNIT
No. (e.g., DELA CRUZ, JUAN DALISAY) DIVISON ID DIVISION Grade Step 2022 (as of December Amount of PBB (Newly hired, Retired,
1
2
3
4
5
6
7
DELIVERY UNIT
31, 2022)
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
DELIVERY UNIT
31, 2022)

DELIVERY UNIT
No. (e.g., DELA CRUZ, JUAN DALISAY) DIVISON ID DIVISION Grade Step 2022 (as of December Reason for Disqualification
31, 2022)
3 SERVICE
-
1 X DID NOT SUBMIT
2 X SALN
3 X
-
-
1 X DID NOT SUBMIT
2 X RPMS FORMS
3 X
-
1 X OTHERS
3 X
-
SUPPLEMENTAL REPORT
DELIVERY UNIT
No. REGION NO. REGION (as of December Amount of PBB
31, 2022)
1 DELA CRUZ, JUAN JR. DALISAY I ILOCOS REGION 11 1 9 25,439.00 12,401.51
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
20 of 25 FY 2021 PBB_RO
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
21 of 25 FY 2021 PBB_RO
89
90
91
92
93
94
95
96
97
98
99
100

DELIVERY UNIT
NAME OF EMPLOYEE Salary Salary Service in FY Salary Reason for the Grant of pro-rated PBB
No. REGION NO. REGION Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022 (as of December (Newly hired, Retired, Resigned etc.)
31, 2021)
1 DELA CRUZ, JUAN DALISAY I ILOCOS REGION 15 1 4 35,097.00 8,554.89 Newly hired, Sept. 1, 2022
2 DELA CRUZ, JUANITO SANTOS I ILOCOS REGION 18 1 3 45,203.00 8,814.59 Retired, Mar. 31, 2022
3 CRUZ, JUANITA GONZALES I ILOCOS REGION 11 1 8 25,439.00 11,161.36 Maternity Leave, April 1-July 31, 2022
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
22 of 25 FY 2021 PBB_RO
28
29
30
x B. Total Amount of the PRO-RATED Share Grant of PBB: 28,530.84

DELIVERY UNIT
No. REGION NO. REGION Reason for Disqualification
31, 2021)
1 DELA CRUZ, JUAN DALISAY I ILOCOS REGION 10 2 2 22,376.00 RENDERED LESS THAN
3 SERVICE
x Employees rendered less than 3 months 22,376.00
1 X DID NOT SUBMIT
2 X SALN
3 X
x Employees who failed to submit SALN -
x Employees who failed to liquidate Cash Advance -
1 X DID NOT SUBMIT
2 X RPMS FORMS
3 X
x Employees who did not submit RPMS Forms -
1 X OTHERS
3 X
x Others -
x C. Total Monthly Salary of Personnel DISQUALIFIED from PBB: 1.00
23 of 25 FY 2021 PBB_RO
Summary Matrix

Region
School Division Office
No. of Delivery Units
Division School ID Delivery Unit No. of Officials and Total Amount of PBB
Employees Entitled
to PBB
Total 0 0
Prepared by: Certified Correct by:
Signature over printed Name Signature over printed Name

RO PMT Secretariat RO PMT Chair
Approved by:
Signature over printed Name

Regional Director
PBB Rates Length of Service and Percentage of PBB Step Step Step Step Step Step Step Step
PBB Score PBB Rates No. of Months Percentage Salary Grade 1 2 3 4 5 6 7 8
100 65% of the Salary 1 Below 3 mos. 1 12517 12621 12728 12834 12941 13049 13159 13268
95 61.75% of the Salary 2 Below 3 mos. 2 13305 13406 13509 13613 13718 13823 13929 14035
90 58.50% of the Salary 3 40% 3 14125 14234 14343 14454 14565 14676 14790 14903
85 55.25% of the Salary 4 50% 4 14993 15109 15224 15341 15459 15577 15698 15818
80 52% of the Salary 5 60% 5 15909 16032 16155 16279 16404 16530 16657 16784
75 48.75% of the Salary 6 70% 6 16877 17007 17137 17269 17402 17535 17670 17806
70 45.50% of the Salary 7 80% 7 17899 18037 18176 18315 18455 18598 18740 18884
8 90% 8 18998 19170 19343 19518 19694 19872 20052 20233
9 20402 20572 20745 20918 21093 21269 21447 21626
10 22190 22376 22563 22752 22942 23134 23327 23522
11 25439 25723 26012 26304 26600 26901 27205 27514
12 27608 27892 28180 28471 28766 29065 29367 29673
13 29798 30111 30427 30747 31072 31400 31732 32069
14 32321 32665 33013 33366 33722 34083 34449 34819
15 35097 35475 35858 36246 36638 37035 37437 37845
16 38150 38566 38987 39413 39845 40282 40725 41172
17 41508 41966 42429 42898 43373 43854 44340 44833
18 45203 45706 46216 46731 47254 47783 48318 48860
19 49835 50574 51325 52088 52864 53652 54454 55268
20 55799 56633 57482 58344 59221 60112 61017 61937
21 62449 63392 64351 65325 66316 67322 68345 69385
22 69963 71029 72113 73214 74333 75471 76627 77801
23 78455 79659 80884 82133 83474 84836 86220 87628
24 88410 89853 91320 92810 94325 95865 97430 99020
25 100788 102433 104105 105804 107531 109286 111070 112883
26 113891 115749 117639 119558 121510 123493 125508 127557
27 128696 130797 132931 135101 137306 139547 141825 144140
28 145427 147800 150213 152664 155155 157689 160262 162877
29 164332 167015 169740 172511 175326 178188 181096 184052
30 185695 188726 191806 194937 198118 201352 204638 207978
31 273278 278615 284057 289605 295262 301028 306908 312902
32 325807 332378 339080 345918 352894 360011 367272 374678
33 411382 423723 x x x x x x

2022 PBB Form 1.0

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2022 PBB Form 1.0

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Copyright:

Available Formats

INSTRUCTIONS

DO NOT EDIT IN THIS FILE. PLEASE DOWNLOAD FIRST THEN EDIT.

For any clarifications, please contact Ms. Jam Sy:

o Supplemental Report Sheet

o Supplemental Report Sheet

mental Report Sheet

ME Format (ex. DELA CRUZ, JUAN JR DALISAY)

Department/Agency: DEPARTMENT OF EDUCATION

Summary of Information Required

Particulars (as indicated in Supplemental Report)

Total Numbers of Officials and Employees Entitled to the PBB (A+B):

Months in Monthly Basic

1 0 MATI CITY 11 1 9 25,439.00 12,401.51

Months in Monthly Basic

Months in Monthly Basic

B. List of Personnel Entitled to the PRO-RATED share of the PBB

Months in Monthly Basic

C. List of Personnel DISQUALIFIED from grant of the PBB

Months in Monthly Basic

Prepared by: Certified Correct by: Approved by:

B. List of Personnel Entitled to the PRO-RATED share of the PBB

C. List of Personnel DISQUALIFIED from grant of the PBB

Prepared by: Certified Correct by: Approved by:

B. List of Personnel Entitled to the PRO-RATED share of the PBB

C. List of Personnel DISQUALIFIED from grant of the PBB

Prepared by: Certified Correct by: Approved by:

B. List of Personnel Entitled to the PRO-RATED share of the PBB

C. List of Personnel DISQUALIFIED from grant of the PBB

Prepared by: Certified Correct by: Approved by:

Department/Agency: DEPARTMENT OF EDUCATION

Prepared by: Certified Correct by:

Signature over printed Name Signature over printed Name

Signature over printed Name

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