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SALN Form

The document is a Sworn Statement of Assets, Liabilities, and Net Worth for Doniego Dina as of December 31, 2024, required under R.A. 6713. It details the declarant's personal properties totaling P 43,463, with no reported liabilities. Additionally, it lists relatives in government service and certifies the accuracy of the provided information.

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Mariano III Ong
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4 views

SALN Form

The document is a Sworn Statement of Assets, Liabilities, and Net Worth for Doniego Dina as of December 31, 2024, required under R.A. 6713. It details the declarant's personal properties totaling P 43,463, with no reported liabilities. Additionally, it lists relatives in government service and certifies the accuracy of the provided information.

Uploaded by

Mariano III Ong
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 of January 2015

Per CSC Resolution No. 1500088


Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER 31, 2024
(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 DONIEGO DINA A. POSITION: T-III


:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: TABBAC ELEMENTARY
SCHOOL
ADDRESS: PATTAO,BUGUEY,CAGAYAN OFFICE
ADDRESS: TABBAC, BUGUEY, CAGAYAN

SPOUSE: DONIEGO MONCHITO G. POSITION: RETIRED


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: AFP
OFFICE FORT MAGSAYSAY PALAYAN
ADDRESS: CITY
NUEVA ECIJA

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

NAME DATE OF BIRTH AGE


MON ANGELO A. DONIEGO OCTOBER 07, 2012 12
MONIQUE DEANLIE A. DONIEGO OCTOBER 14, 2015 9
MONARCHEL ANNE A. DONIEGO MARCH 08, 2018 6

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*

DESCRIPTIO KIND EXACT ASSESSE CURRENT FAIR ACQUISITION ACQUISITION


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

N/A N/A N/A N/A N/A N/A N/A


N/A

Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

REFRIGERATOR 2024 P 17, 699


CELLPHONE 2022 P 7, 899
LAPTOP 2021 P 17, 865

Subtotal : P 43, 463

TOTAL ASSETS (a+b): P 43, 463


* Additional sheet/s may be used, if necessary.

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

N/A N/A N/A

TOTAL LIABILITIES:
NET WORTH : Total Assets less Total Liabilities =
* 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 N/A N/A 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
JOSEPHINE A. GARCIA SISTER T-III PATTAO NATIONAL HIGH SCHOOL
MELANIE D. ASUNCION SISTER IN LAW T-III PATTAO NATIONAL HIGH SCHOOL
EDMUND L. BARROGA BROTHER IN LAW T-III ALS

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: December 19, 2024

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

Government Issued ID: PRC Government Issued ID: MILITARY


ID No.: 0778847 ID No.: A22-E-297049
Date Issued: 11-15-2002 Date Issued: 01-27-2022

SUBSCRIBED AND SWORN to me this 19 th day of D e c e m b e r , affiant exhibiting to me the above-


stated government issued identification card.

_______________________________________
(Person Administering Oath)
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