gsis use

SERVICE RECORD (To Be Accomplished By Employer)

NAME: URETAGHIACRIZALDO (Surname)(Given Name)(Middle Initial)

BIRTH:December 10, 1985Cagayan De Oro City(Date)(Place)

SERVICERECORD OF APPOINTMENTOFFICE ENTITY/DIVISIONL/V ABSW/O PAYSEPARATION(Inclusive Dates)DesignationStatusSalaryStation/PlaceBRANCH(4)FromTo(1)(2)of Assignment(3)DateCause

02/01/0803/31/08Preschool Tea.PTA12,000.00Ibajay, AklanNat.06/01/0803/31/09Preschool Tea.Contrc'l30,000.00Ibajay, AklanNat.06/01/0903/31/10Preschool Tea.Contrc'l60,000.00Ibajay, AklanNat.300006/01/1004/08/11Preschool Tea.Contrc'l60,000.00Ibajay, AklanNat.1006/01/1104/08/12Preschool Tea.Contrc'l30,000.00Ibajay, AklanNat.1006/01/1210/01/12Preschool Tea.Contrc'l30,000.00Ibajay, AklanNat.1010/02/12PresentTeacher IPerm.222,588.00Ibajay, AklanNat.NBC 540

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.

CERTIFIED CORRECT:

IDY R. PEDRITAMay 30, 2014Chief or Head Of OfficeDateSchool Principal 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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