Service Record: Department of Education
Service Record: Department of Education
Service Record: Department of Education
Department of Education
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF THE CITY OF ILAGAN
SERVICE RECORD
(To be accomplished by Employer)
NAME: (If married give also full name and other Surname used)
(Surname) (First Name) (MI)
DATE OF
BIRTH: (Date herein should be checked from birth baptismal
certificate or some other official Document)
(Date) (Place)
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 RECORDS OF APPOINTMENT OFFICE LEAVE OF SEPARATION
STATION/ BRANCH ABSENCE
(Inclusive Dates) Designation Status Salary PLACE W/O PAY Date Cause
Issued in compliance with Executive Order No. 54 dated August 10, 1954 and in accordance with Circular No. 58 date August 10, 1954 of
the system.
DATE
CERTIFIED CORRECT: APPROVED:
ACCOMP
LISHED
JOYDEE S. CRISOSTOMO MARY ANN M. BELTRAN, PhD, LlB
Administrative Officer IV/HRMO Administrative Officer V
JUNE 2, 2020
SERVICE RECORD
(To be accomplished by Employer)
NAME: DE VERA GRACE DARIANO (If married give also full name and other Surname used)
(Surname) (First Name) (MI)
DATE OF 16-Mar-79 Ilagan, Isabela
BIRTH: (Date herein should be checked from birth baptismal
certificate or some other official Document)
(Date) (Place)
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 RECORDS OF APPOINTMENT OFFICE LEAVE OF SEPARATION
STATION/ BRANCH ABSENCE
(Inclusive Dates) Designation Status Salary PLACE W/O PAY Date Cause
Issued in compliance with Executive Order No. 54 dated August 10, 1954 and in accordance with Circular No. 58 date August 10, 1954 of
the system.
/TelPascual
Address: INHS Compound, Claravall St., San Vicente, City of Ilagan, Isabela
Telephone No: (078) 624-0077
Email: [email protected]
Website: www.sdocityofilagan.gov.ph
HRM-QF-001 Rev. 01