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F-067 Service Record

This document is a service record from the Department of Education in the Philippines. It provides employment details for an individual including their name, date of birth, places of employment, positions held, and dates of service. It certifies that the employee provided service in the roles and time periods listed. The record is issued in accordance with executive orders and circulars regarding documentation of government service.

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Robert Samonte
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383 views

F-067 Service Record

This document is a service record from the Department of Education in the Philippines. It provides employment details for an individual including their name, date of birth, places of employment, positions held, and dates of service. It certifies that the employee provided service in the roles and time periods listed. The record is issued in accordance with executive orders and circulars regarding documentation of government service.

Uploaded by

Robert Samonte
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF BATANGAS
Batangas Provincial Sports Complex, Bolbok, Batangas City

SERVICE RECORD

Name: _____________________________________________ (if married, give also the full name and other
(SURNAME) (FIRST NAME) (MIDDLE NAME) surname used)

Date of Birth: __________ Place: ___________________________ (Date herein should be checked from birth baptismal
certificate of some official documents

This is to certify that the employee named herein above actually rendered service in this office or office as
indicated below each line which is supported by appointment and other papers actually issued and approved by
the authorities concerned.

LEAVE OF
SERVICE RECORD OF APPOINTMENT OFFICE BRANCH ABSENCE Date
W/O PAY
(Inclusive Date)
Designation Status Salary Station/Place
From To
                 
                 
                 
                 
                 
                 
                 
                 
                 

                 
                 
                 
                 
                 
                 

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:

_______________________________
School Head

NOTED:

_______________________________________

DEPEDBATS-PER-F-065/R0/05-25-2018
(043) 722-1840/ 722-1796/ 722-1437/ 722-2675/ 722-1662 (043) 723-2816 [email protected] www.depedbatangas.org
Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF BATANGAS
Batangas Provincial Sports Complex, Bolbok, Batangas City

Administrative Officer V

DEPEDBATS-PER-F-065/R0/05-25-2018
(043) 722-1840/ 722-1796/ 722-1437/ 722-2675/ 722-1662 (043) 723-2816 [email protected] www.depedbatangas.org

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