FORM CAgency Name: DepEd, Ibajay West DistrictAgency BP Number: 1000004527

FOR AGENCY REMITTANCE ADVICE

FORM C. List of employees with salary adjustments for confirmation as to correct amount of monthly salary and effectivity date to be supplied below.Member BP NumberLast NameFirst Name SuffixMIAnnual SalaryEffectivity DatePositionEmployment status

2002446726BEGORNIARIDAS.6,888.0010/2/1978EGTSubs.6,888.0011/13/1978EGTSubs.6,888.001/2/1979EGTSubs.6,888.001/23/1979EGTSubs.6,888.008/29/1980EGTSubs.7,992.009/14/1981EGTSubs.9,288.0010/24/1981EGTSubs.10,440.009/22/1982EGTSubs.10,440.0012/2/1982EGTSubs.10,440.001/2/1984EGTProv.11,484.005/1/1984EGTProv.11,484.008/10/1984EGTPerm.12,636.001/1/1985EGTPerm.13,152.001/1/1986EGTPerm.16,044.007/1/1986EGTPerm.19,252.003/1/1987EGTPerm.21,168.001/1/1988EGTPerm.37,224.007/1/1989Teacher IPerm.37,968.001/1/1993Teacher IPerm.38,352.001/3/1993Teacher IPerm.47,952.001/1/1994Teacher IPerm.59,952.001/1/1995Teacher IPerm.73,284.001/1/1996Teacher IPerm.73,668.001/3/1996Teacher IPerm.93,828.001/1/1997Teacher IPerm.113,988.0011/1/1997Teacher IPerm.116,832.001/3/1999Teacher IPerm.128,520.001/1/2000Teacher IPerm.134,952.007/1/2001Teacher IPerm.138,324.001/3/2002Teacher IPerm.141,780.001/3/2005Teacher IPerm.155,964.007/1/2007Teacher IPerm.171,564.007/1/2008Teacher IPerm.173,076.006/1/2009Teacher IIPerm.200,472.007/1/2009Teacher IIPerm.217,476.006/24/2010Teacher IIPerm.234,492.006/1/2011Teacher IIPerm.251,496.006/1/2012Teacher IIPerm.254,004.006/2/2012Teacher IIPerm.273,060.004/3/2013Teacher IIPerm.4/4/2013EFFECTIVE DATE OF RETIREMENT

Note: No need to attach the Notice Of Salary Adjustment (NOSA) and Notice of Salary Increase (NOSI)