Scribd
Upload
233 views

TREAS Form 57A

This document is a request form for bonding or cancelling the bond of an accountable official in the Philippines. 1) It requests bonding for Jamaeca Jean Tan David for the position of SK Treasurer in Bocaue, Bulacan, with a maximum accountability of 32,863.11 pesos. 2) It provides her personal details and work experience. 3) Upon approval by higher authorities, it will establish her bond at 26,250 pesos to protect public funds under her accountability.

Uploaded by

ラ へ
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
233 views

TREAS Form 57A

This document is a request form for bonding or cancelling the bond of an accountable official in the Philippines. 1) It requests bonding for Jamaeca Jean Tan David for the position of SK Treasurer in Bocaue, Bulacan, with a maximum accountability of 32,863.11 pesos. 2) It provides her personal details and work experience. 3) Upon approval by higher authorities, it will establish her bond at 26,250 pesos to protect public funds under her accountability.

Uploaded by

ラ へ
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Republic of the Philippines GENERAL FORM NO.

57(A)
(Revised March 24, 1976)
Province of Bulacan

Mucipality of Bocaue Risk Number

REQUEST FOR BONDING AND/OR CANCELLATION OF BOND OF


ACCOUNTABLE OFFICIALS AND EMPLOYEES OF THE
REPUBLIC OF THE PHILIPPINES
1. NAME OF PERSON TO BE BONDED/WHOSE BOND IS TO BE CANCELLED 2. DESIGNATION OR TITLE OF POSITION
TAN JAMAECA JEAN DAVID
Surname Given Middle
3. DATE OF INCOMING OFFICER ASSUMES ACCOUNTABILITY
2020 JANUARY 13 SK TREASURER
Year Month Day
4. STATION
BOCAUE BULACAN
Municipality Province/City
5. AMOUNT OF MAXIMUM ACCOUNTABILITY/CUSTODY
₱
When extent or character of an Officer's control
Amount over funds or property cannot be inferred from the title
a) Public Funds or designation given, a full and complete statement of
(1) As Collecting Officer ₱ duties should be given above.
(2) As Disbursing Officer ₱ 32,863.11 (Use additional sheet if necessary)

b) Public Property 6. SALARY ATTACHED TO THE POSITION


(1) Supplies and Materials ₱
(2) Equipment ₱ ₱ 500.00
(3) Others ₱
(In case of temporary appointment or designation,
c) Forms and Other Valuables salary of permanent and temporary incumbent should
(1) Internal Rev. Stamps ₱ be stated)
(2) Internal Rev. Doc. Stamps ₱ 7. BOND RECOMENDED
(3) Customs Doc. Stamps ₱
(4) Postage and Other Stamped Stock ₱ ₱ 26,250.00
(5) Science Stamps ₱
(6) Cash Tickets ₱ 8. BOND FIXED BY LAW OR BY THE CHAIRMAN
(7) Others ₱ COMMISSION ON AUDIT

Total Amount: ₱ 32,863.11 ₱

PERSONAL RECORD OF PERSON TO BE BONDED


(Use additional or separate sheet if necessary)
9. (A) PREVIOUS EXPERIENCE (B) CRIMINAL OR ADMINISTRATIVE RECORD

NONE NONE
(THIS BLOCKED TO BE FILLED ONLY IN CASE OF BOND CANCELLATION)
10. NAME OF OFFICER TO BE RELIEVED 11. PRESENT TITLE OR DESIGNATION

Surname Given Middle


12. AMOUNT OF BOND AND RISK NUMBER INFORCE 13. SALARY OF PERSON TO BE RELIEVED

14. DATE OF RELIEF 15. CAUSE OF RELIEF

Year Month Day


16. REMARKS

Head of Agency or Office


City Mayor HON. ELEANOR VILLANUEVA TUGNA
Provincial Treasurer Municipal Mayor
GENERAL FORM NO. 57(A) FIRST INDORSEMENT
(Revised March 24, 1976) ,20

Respectfully forwarded, through the Bureau, Provincial or City Auditor,


REQUEST
for
BONDING AND/OR CANCELLATION OF BOND OF
ACCOUNTABLE OFFICIALS AND EMPLOYEES OF THE To the Treasurer of the Philippines, Manila, recommending approval of the
REPUBLIC OF THE PHILIPPINES bond proposed in item 7 of the within request.

}
Head of Agency or Office
(NAME) City Mayor
Provincial Treasurer (designation)

(DESIGNATION)
SECOND INDORSEMENT

(BUREAU, PROVINCE OR CITY) ,20_____

Respectfully Forwarded to the Treasurer of the Philippines, Manila


. (DATE TO BE EFFECTIVE)

Bond for the within mentioned position is approved and fixed in the
amount of P ______________________

Cancellation of the bond of M


(Brief to be filled in by the Treasurer of the Philippines in the amount of P __________________
under Risk No. ___________________is hereby noted.

By Authority of the
CHAIRMAN, COMMISSION ON AUDIT

(Bureau, City, Provincial, Agency,


Corporate Auditor)

You might also like