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SALN

This document is a sworn statement of assets, liabilities, and net worth that must be filed by public officials and employees in the Philippines according to law. It summarizes the declarant's personal information and assets including real estate, personal property, and cash values. It also lists any liabilities, relatives in government service, and authorizes the Ombudsman to access financial records to verify the statement. The declarant certifies the statement is true and correct before a notary.

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Patrick L. Rondina
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34 views

SALN

This document is a sworn statement of assets, liabilities, and net worth that must be filed by public officials and employees in the Philippines according to law. It summarizes the declarant's personal information and assets including real estate, personal property, and cash values. It also lists any liabilities, relatives in government service, and authorizes the Ombudsman to access financial records to verify the statement. The declarant certifies the statement is true and correct before a notary.

Uploaded by

Patrick L. Rondina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Revised as January 2015

Per CSC Resolution No. 15000088


Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER 31, 2022
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing  Separate Filing  Not Applicable

DECLARANT: RONDINA PATRICK L. POSITION: TEACHER II


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARTMENT OF EDUCATION
/ANIBONGAN NATIONAL
HIGHSCHOOL
ADDRESS: P-3 TABON, BISLIG CITY, SURIGAO DEL SUR OFFICE ADDRESS: P-7 ANIBONGAN, LIANGA
SURIGAO DEL SUR

SPOUSE: N/A POSITION: N/A


(Family Name) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE


NONE NONE NONE

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse and unmarried children below eighteen (18)
years of age living in declarant’s household)
1. ASSETS
a. Real Properties*

DESCRIPTION KIND LOCATION ASSESSED CURRENT FAIR ACQUISITION ACQUISITION COST


(e.g. lot, house and (e.g. residential, VALUE MARKET VALUE
lot, condominium commercial, industrial,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

NONE

Subtotal:
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

MOTORCYCLE 2019 100,0000


CELLPHONE 2018 24,990
LAPTOP 2019 27,000
CLOTHING 2015 30,000
JEWELRIES 2022 15,000
Subtotal : 196,990
TOTAL ASSETS (a+b):
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

NONE

TOTAL LIABILITIES:

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NET WORTH: Total Assets less Total Liabilities = 196,990
* Additional sheet/s may be used, if necessary.

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


(of Declarant /Declarant’s spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarant’s Household)

 I/We do not have any business interest or financial connection .

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
N/A

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)

 I/We do not know of any relative/s in the government service)


NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
JOVELYN RONDINA OMACOB COUSIN TEACHER I SAN VICENTE ELEMENTARY SCHOOL/ SAN
VICENTE 2 TAGBINA, SURIGAO DEL SUR

I hereby certify that these are true and correct statements of my assets, liabilities, net worth,
business interests and financial connections, including those of my spouse and unmarried children below
eighteen (18) years of age living in my household, and that to the best of my knowledge, the above-
enumerated are names of my relatives in the government within the fourth civil degree of consanguinity or
affinity.

I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and
secure from all appropriate government agencies, including the Bureau of Internal Revenue such
documents that may show my assets, liabilities, net worth, business interests and financial connections,
to include those of my spouse and unmarried children below 18 years of age living with me in my
household covering previous years to include the year I first assumed office in government.

Date: 03/13/2023
N/A

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No.: 1842340 ID No.:
Date Issued: 1/10/2020 Date Issued:

SUBSCRIBED AND SWORN to before me this 13th day of March, 2023 affiant exhibiting to me the above-
stated government issued identification card.

ULDARICO B. LUAREZ
Schools District In-Charge
___________________________
(Person Administering Oath)

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