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Sample Individual Service Record

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Rinkashitamodo Abarcar
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60 views

Sample Individual Service Record

Uploaded by

Rinkashitamodo Abarcar
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
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Republika ng Pilipinas

Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: If married woman, give also full maiden name.
(Surname) (Given Name) (MN)

BIRTH: Date herein should be checked from birth or


(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
MM-DD-YYYY MM-DD-YYYY do not abbreviate do not abbreviate 123,456.00 do not abbreviate 0.500 day SL (10/5/2002) s.w. APPT. Date MM-DD-YYYY
1.000 day PL (10/8/2003) s.w.
2.000 days SL (10/9-10/2004) s.w
5.000 days SL (8/22,25-28/2006) s.w.
45.000 days PL (8/22 - 10/6/2007) s.w.

********************** Nothing Follows*********************


PURPOSE:
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #: (Please fill-in)
EMPLOYEE NO: (Please fill-in)
Home Address: (Please fill-in)
Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: If married woman, give also full maiden name.
(Surname) (Given Name) (MN)

BIRTH: Date herein should be checked from birth or


(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
MM-DD-YYYY MM-DD-YYYY do not abbreviate do not abbreviate 123,456.00 do not abbreviate 0.500 day SL (10/5/2002) s.w. APPT. Date MM-DD-YYYY
1.000 day PL (10/8/2003) s.w.
2.000 days SL (10/9-10/2004) s.w
5.000 days SL (8/22,25-28/2006) s.w.
45.000 days PL (8/22 - 10/6/2007) s.w.

********************** Nothing Follows *********************


PURPOSE:
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #: (Please fill-in)
EMPLOYEE NO: (Please fill-in)
Home Address: (Please fill-in)
Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: AYALA CLYDE CART If married woman, give also full maiden name.
(Surname) (Given Name) (MN)

BIRTH: January 8, 1975 Digos, Davao del Sur Date herein should be checked from birth or
(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
01-05-2024 Present Administrative Assiatant III Permanent 254,532.00 Sta. Cruz NHS APPT. date 12-28-2023
********************** Nothing Follows*********************
PURPOSE:
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #: 20036549871
EMPLOYEE NO: 1234567
Home Address: Digos City, Davao del Sur
Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: DELA CRUZ JENA UNO If married woman, give also full maiden name.
(Surname) (Given Name) (MN) JENA SANTOS UNO

BIRTH: January 5, 1975 Digos, Davao del Sur Date herein should be checked from birth or
(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
12-29-2005 06-30-2007 Teacher I Permanent 119,268.00 Don Marcelino 5.000 days SL (8/22,25-28/2006) s.w. APPT. Date 12-20-2005
07-01-2007 06-30-2008 Teacher l Permanent 131,196.00 Don Marcelino 0.500 day SL (7/30pm/2007) s.w. NBC 511 s.07
07-01-2008 12-28-2008 Teacher l Permanent 144,312.00 Don Marcelino 2.000 days SL (11/22-23/2007) s.w. NBC 516 s.08
12-29-2008 06-30-2009 Teacher l Permanent 147,936.00 Don Marcelino 2.000 days SL (7/28-29/2008) s.w. SG-11 Step 2
07-01-2009 06-23-2010 Teacher l Permanent 173,796.00 Don Marcelino 3.000 days SL (8/1-4,11/2008) s.w. NBC 521 s.09
06-24-2010 01-16-2011 Teacher l Permanent 190,800.00 Don Marcelino 1.000 day SL (10/31/2008) s.w. NBC 524 s.10
01-17-2011 05-31-2011 Teacher l Permanent 190,800.00 Magsayasy North 2.000 days SL (11/20,25/2008) s.w. Transfer
06-01-2011 12-28-2011 Teacher l Permanent 207,816.00 Magsayasy North 1.500 days SL (1/5,9pm/2009) s.w. NBC 530 s.11
12-29-2011 05-31-2012 Teacher l Permanent 210,480.00 Magsayasy North 5.000 days SL (3/4,13-16/2009) s.w. SG-11 Step 3
06-01-2012 12-28-2014 Teacher l Permanent 227,064.00 Magsayasy North 2.000 days SL (6/24,29/2009) s.w. NBC 540 s.12
12-29-2014 12-31-2015 Teacher l Permanent 229,332.00 Magsayasy North 1.000 day SL (7/4/2009) s.w. SG-11 Step 4
01-01-2016 12-31-2016 Teacher l Permanent 236,508.00 Magsayasy North 3.000 days SL (8/26-28/2009) s.w. NBC 562 s.16
01-01-2017 12-28-2017 Teacher l Permanent 243,912.00 Magsayasy North 1.000 day SL (9/8/2009) s.w. NBC 568 s.17
12-29-2017 12-31-2017 Teacher l Permanent 246,804.00 Magsayasy North 2.000 days SL (11/3,16/2009) s.w. SG-11 Step 5
01-01-2018 01-01-2018 Teacher l Permanent 248,376.00 Magsayasy North 1.000 day SL (1/4/2010) s.w. NBC 572 s.18
01-01-2019 01-06-2019 Teacher l Permanent 262,980.00 Magsayasy North 1.000 day SL (2/22/2010) s.w. NBC 575 s.19
01-07-2019 12-31-2019 Teacher II Permanent 275,256.00 Magsayasy North 1.000 day SL (9/9/2010) s.w. Reclassification
01-01-2020 12-31-2020 Teacher II Permanent 293,940.00 Magsayasy North 1.000 day SL (10/11/2010) s.w. NBC 579 s.20
01-01-2021 12-31-2021 Teacher II Permanent 312,624.00 Magsayasy North 1.000 day SL (11/13/2010) s.w. NBC 584 s.21
01-01-2022 01-06-2022 Teacher II Permanent 331,296.00 Magsayasy North 0.500 day SL (1/29am/2011) s.w. NBC 588 s.22
01-07-2022 12-31-2022 Teacher II Permanent 334,704.00 Magsayasy North 1.000 day SL (3/7pm,9pm/2011) s.w. SG-12 Step 2
01-01-2023 12-31-2023 Teacher II Permanent 353,388.00 Magsayasy North 2.000 days SL (7/12-13/2011) s.w. NBC 591 s.23
01-01-2024 Present Teacher II Permanent 353,388.00 Magsayasy North 1.000 day SL (8/23am,26am/2011) s.w.
********************** Nothing Follows********************* 1.000 day SL (8/23am,26am/2011) s.w.
1.000 day SL (9/19/2011) s.w.
2.000 days SL (12/8-9/2011) s.w.
1.000 day SL (1/6/2012) s.w.
1.000 day SL (3/16/2012) s.w.
PURPOSE: for Loyalty Claim
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #: 2001234567
EMPLOYEE NO: 1234567
Home Address: San Miguel, Digos City, Davao del Sur
Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: DELA CRUZ JENA UNO If married woman, give also full maiden name.
(Surname) (Given Name) (MN) JENA SANTOS UNO

BIRTH: January 5, 1975 Digos, Davao del Sur Date herein should be checked from birth or
(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
12-29-2005 06-30-2007 Teacher I Permanent 119,268.00 Don Marcelino 5.000 days SL (8/22,25-28/2006) s.w. APPT. Date 12-20-2005
07-01-2007 06-30-2008 Teacher l Permanent 131,196.00 Don Marcelino 0.500 day SL (7/30pm/2007) s.w. NBC 511 s.07
07-01-2008 12-28-2008 Teacher l Permanent 144,312.00 Don Marcelino 2.000 days SL (11/22-23/2007) s.w. NBC 516 s.08
12-29-2008 06-30-2009 Teacher l Permanent 147,936.00 Don Marcelino 2.000 days SL (7/28-29/2008) s.w. SG-11 Step 2
07-01-2009 06-23-2010 Teacher l Permanent 173,796.00 Don Marcelino 3.000 days SL (8/1-4,11/2008) s.w. NBC 521 s.09
06-24-2010 01-16-2011 Teacher l Permanent 190,800.00 Don Marcelino 1.000 day SL (10/31/2008) s.w. NBC 524 s.10
01-17-2011 05-31-2011 Teacher l Permanent 190,800.00 Magsayasy North 2.000 days SL (11/20,25/2008) s.w. Transferred
06-01-2011 12-28-2011 Teacher l Permanent 207,816.00 Magsayasy North 1.500 days SL (1/5,9pm/2009) s.w. NBC 530 s.11
12-29-2011 05-31-2012 Teacher l Permanent 210,480.00 Magsayasy North 5.000 days SL (3/4,13-16/2009) s.w. SG-11 Step 3
06-01-2012 12-28-2014 Teacher l Permanent 227,064.00 Magsayasy North 2.000 days SL (6/24,29/2009) s.w. NBC 540 s.12
12-29-2014 12-31-2015 Teacher l Permanent 229,332.00 Magsayasy North 1.000 day SL (7/4/2009) s.w. SG-11 Step 4
01-01-2016 12-31-2016 Teacher l Permanent 236,508.00 Magsayasy North 3.000 days SL (8/26-28/2009) s.w. NBC 562 s.16
01-01-2017 12-28-2017 Teacher l Permanent 243,912.00 Magsayasy North 1.000 day SL (9/8/2009) s.w. NBC 568 s.17
12-29-2017 12-31-2017 Teacher l Permanent 246,804.00 Magsayasy North 2.000 days SL (11/3,16/2009) s.w. SG-11 Step 5
01-01-2018 01-01-2018 Teacher l Permanent 248,376.00 Magsayasy North 1.000 day SL (1/4/2010) s.w. NBC 572 s.18
01-01-2019 01-06-2019 Teacher l Permanent 262,980.00 Magsayasy North 1.000 day SL (2/22/2010) s.w. NBC 575 s.19
01-07-2019 12-31-2019 Teacher II Permanent 275,256.00 Magsayasy North 1.000 day SL (9/9/2010) s.w. Reclassification
01-01-2020 12-31-2020 Teacher II Permanent 293,940.00 Magsayasy North 1.000 day SL (10/11/2010) s.w. NBC 579 s.20
01-01-2021 12-31-2021 Teacher II Permanent 312,624.00 Magsayasy North 1.000 day SL (11/13/2010) s.w. NBC 584 s.21
01-01-2022 01-06-2022 Teacher II Permanent 331,296.00 Magsayasy North 0.500 day SL (1/29am/2011) s.w. NBC 588 s.22
01-07-2022 12-31-2022 Teacher II Permanent 334,704.00 Magsayasy North 1.000 day SL (3/7pm,9pm/2011) s.w. SG-12 Step 2
01-01-2023 03-10-2023 Teacher II Permanent 353,388.00 Magsayasy North 2.000 days SL (7/12-13/2011) s.w. NBC 591 s.23
03-10-2023 Last Day of Service 379,596.00 One (1) salary grade increase pursuant to DECS, CHED,
GSIS and DBM joint cirucular no.1-97 s. 1997 sec. 26
of R.A. 4670.
03-11-2023 Effective date of Separation from service
********************** Nothing Follows*********************
PURPOSE:
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #:
EMPLOYEE NO:
Home Address:
Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: DELA CRUZ JENA UNO If married woman, give also full maiden name.
(Surname) (Given Name) (MN) JENA SANTOS UNO

BIRTH: January 5, 1975 Digos, Davao del Sur Date herein should be checked from birth or
(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
12-29-2005 06-30-2007 Teacher l Permanent 119,268.00 Magsaysay North 5.000 days SL (8/22,25-28/2006) s.w.
07-01-2007 06-30-2008 Teacher l Permanent 131,196.00 Magsaysay North .500 day SL (7/30pm/2007) s.w. NBC 511 s.07
07-01-2008 12-28-2008 Teacher l Permanent 144,312.00 Magsaysay North 2.000 days SL (11/22-23/2007) s.w. NBC 516 s.08
12-29-2008 06-30-2009 Teacher l Permanent 147,936.00 Magsaysay North 2.000 days SL (7/28-29/2008) s.w. SG-11 Step 2
07-01-2009 06-23-2010 Teacher l Permanent 173,796.00 Magsaysay North 3.000 days SL (8/1-4,11/2008) s.w. NBC 521 s.09
06-24-2010 01-16-2011 Teacher l Permanent 190,800.00 Magsaysay North 1.000 day SL (10/31/2008) s.w. NBC 524 s.10
01-16-2011 Last day of service
01-17-2011 Effectivity of resignation
********************** Nothing Follows*********************
PURPOSE:
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #: 2001234567
EMPLOYEE NO: 1234567
Home Address: San Miguel, Digos City, Davao del Sur
Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
SANGAY NG DAVAO DEL SUR
Munisipalidad ng Padada

SERVICE RECORD
NAME: DELA CRUZ JENA UNO If married woman, give also full maiden name.
(Surname) (Given Name) (MN) JENA SANTOS UNO

BIRTH: January 5, 1975 Digos, Davao del Sur Date herein should be checked from birth or
(Date) (Place) Baptismal Certificate or some other reliable
documents.

This is to certify that the employee named herein actually rendered service in this office as shown by the
service record below, each line of which supported by appointment an other papers actually issued by this office and
approved by the authorities concerned.
OFFICE ENTITY L/V ABS
SERVICE RECORD OF APPOINTMENT
STN./PLACE W/OUT REMARKS
FROM TO DESIGNATION STATUS SALARY ASSIGNMENT PAY
12-29-2005 06-30-2007 Teacher l Permanent 119,268.00 Magsaysay North 5.000 days SL (8/22,25-28/2006) s.w.
07-01-2007 06-30-2008 Teacher l Permanent 131,196.00 Magsaysay North .500 day SL (7/30pm/2007) s.w. NBC 511 s.07
07-01-2008 12-28-2008 Teacher l Permanent 144,312.00 Magsaysay North 2.000 days SL (11/22-23/2007) s.w. NBC 516 s.08
12-29-2008 06-30-2009 Teacher l Permanent 147,936.00 Magsaysay North 2.000 days SL (7/28-29/2008) s.w. SG-11 Step 2
07-01-2009 06-23-2010 Teacher l Permanent 173,796.00 Magsaysay North 3.000 days SL (8/1-4,11/2008) s.w. NBC 521 s.09
06-24-2010 01-16-2011 Teacher l Permanent 190,800.00 Magsaysay North 1.000 day SL (10/31/2008) s.w. NBC 524 s.10
01-17-2011 Effectivity date of transfer to Digos City Division
********************** Nothing Follows*********************
PURPOSE: Transfer
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:

RAQUEL J. CARBOS, Ed.D.


Administrative Officer V

BIO PROFILE AS OF: November 17, 2024


BUSINESS PARTNER #: 2001234567
EMPLOYEE NO: 1234567
Home Address: San Miguel, Digos City, Davao del Sur

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