Sheet1SERVICE RECORD(To Be Accomplished By Employer)NAME:GUBATONRODNIEPADOR(Surname)(Given Name)(Middle Initial)BIRTH:November 4, 1973Ibajay, Aklan(Date)(Place)SERVICERECORD OF APPOINTMENTOFFICE ENTITY/DIVISIONL/V ABSW/O PAYSEPARATION(Inclusive Dates)DesignationStatusSalaryStation/PlaceBRANCH(4)FromTo(1)(2)of Assignment(3)DateCause10/17/9512/31/95Teacher IPerm.58,824.00Ibajay, AklanNat.NCC 7401/01/9612/31/96Teacher IPerm.72,156.00Ibajay, AklanNat.NBC 44801/01/9710/31/97Teacher IPerm.87,708.00Ibajay, AklanNat.NBC 458-A11/01/9712/31/99Teacher IPerm.103,260.00Ibajay, AklanNat.NBC 458-B01/01/0006/30/01Teacher IPerm.113,592.00Ibajay, AklanNat.NBC 46807/01/0101/18/06Teacher IPerm.119,268.00Ibajay, AklanNat.NBC 47401/19/0606/30/07Teacher IIIPerm.134,004.00Ibajay, AklanNat.SG-12 / Step 107/01/0706/30/08Teacher IIIPerm.147,408.00Ibajay, AklanNat.NBC 51107/01/0801/19/09Teacher IIIPerm.162,144.00Ibajay, AklanNat.NBC 51601/20/0906/30/09Teacher IIIPerm.166,200.00Ibajay, AklanNat.NOSI - Step 207/01/0906/23/10Teacher IIIPerm.197,088.00Ibajay, AklanNat.NBC 52106/24/1005/31/11Teacher IIIPerm.217,992.00Ibajay, AklanNat.NBC 52406/01/1101/19/12Teacher IIIPerm.238,896.00Ibajay, AklanNat.NBC 53001/20/1205/31/12Teacher IIIPerm.241,944.00Ibajay, AklanNat.NOSI - Step 306/01/12PresentTeacher IIIPerm.262,404.00Ibajay, AklanNat.NBC 540Issued 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.CERTIFIED CORRECT:ROSIE B. REYESJune 18, 2012Chief or Head Of OfficeDatePrincipal II, In-Charge of the DistrictDesignation

(If married woman, give also full maiden name)

(Data herein should be checked from birth or baptismal certificate or some other documents)This is to certify that the employee named herein-above actually rendered services in this Office as shown by the service record below, each line of which is supported by appointment and other papers actually issued by this Office and approved by the authorities concerned.

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