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 2017____________________
(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 PARAMATA NORMIDA R. POSITION: EGT-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: GANASSI DISTRICT
ADDRESS: POBLACION, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: POSITION:
(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

N/A N/A N/A
- - -
- - -
- - -

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

Gadget ( cellphone) 2015 6,599.00

Jewelries (rings, watches)) 2016 10.299.00

Subtotal : 16, 898

TOTAL ASSETS (a+b):

Page 1 of ___
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

- - -
- - -
- - -
- - -
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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
- - - -
- - - -
- - - -
- - - -

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
BAIRONA R. PARAMATA MOTHER RET. T-1 DEPED ARMM
NORA R. PARAMATA AUNT T-1 DEPED ARMM

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: _________________APRIL 15, 2018_____________

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

Government Issued ID: PRC ID Government Issued ID:

ID No.: 1340807 ID No.:
Date Issued: 03-26-2017 Date Issued:

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

_______________________________________
(Person Administering Oath)

Page 2 of ___
 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 2017_______________________
(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 BASIR WEDAD N. POSITION: EGT-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: POBLACION, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: PARAMATA, ALINOR R POSITION:

(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

ELHAM BASIR BINT ALINOR AUGUST 20, 2012 6 Y/O
EZEKIEL BASIR BINT ALINOR JULY 20, 2013 5 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

N/A N/A N/A N/A N/A N/A N/A 0

N/A N/A N/A N/A N/A N/A N/A 0

N/A N/A N/A N/A N/A N/A N/A 0

N/A N/A N/A N/A N/A N/A N/A 0

Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

Jewelries (rings, and Necklace) 2009 25,499

Motorcycle 2017 125,155

Subtotal : 150,654

TOTAL ASSETS (a+b):

Page 3 of ___
3. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOANS (50,000.00) PPSTA 56,874

CALAMITY LOANS (100, 000) PPSTA 21,750

TOTAL LIABILITIES: 78,624.97

NET WORTH : Total Assets less Total Liabilities = 72,0304.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ASNIA N. BASIR SISTER TEACHER-1 DEPED-ARMM

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: _________________MARCH 26, 2018_____________

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

Government Issued ID: PRC- ID Government Issued ID:

ID No.: 1127880 ID No.:
Date Issued: MAY 15, 2012 Date Issued:

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

_______________________________________
(Person Administering Oath)

Page 4 of ___
 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 2017_______________________
(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 KAPAMPANGAN, BASHER M.. POSITION: EGT-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: GANASSI, LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: KAPAMPANGAN, SITTIE RAKIMA M. POSITION: SPECIAL INVESTAGATOR

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: COMMISSION ON HUMAN
RIGHTS
OFFICE ADDRESS: KORONADAL CITY

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

NAME DATE OF BIRTH AGE

BASHER M. KAPAMPANGAN JR. SEPT. 28, 2003 14
RAYELIA M. KAPAMPANGAN NOV. 29, 2005 12
ZAEEM M. KAPAMPANGAN SEPT. 16, 2011 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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

HOUSE AND
LOT RESIDING GANASSI LDS 250, 000 260,000. 2012 INHERITED

260,000
Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

N/A N/A N/A

N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
Subtotal :

TOTAL ASSETS (a+b):

Page 5 of ___
4. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

N/A N/A N/A

N/A N/A N/A
N/A N/A N/A
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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ALICAN M. KAPAMPANGAN BROTHER ELECTION OFFICER PAGAYAWAN LANAO 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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 282-032-0163 ID No.:
Date Issued: Date Issued:

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

_______________________________________

Page 6 of ___
 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 2017_______________________
(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 MAROHOM, ALMAIRA A. POSITION: HEAD TEACHER-1

:
(Family Name) (First Name) (M.I. AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
)
ADDRESS: PAGALONGAN, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: MAROHOM, ATANG S. POSITION:

(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

MAROHOM, MONIPHA A. JUNE 06, 1999 17 Y/O
MAROHOM, JOHANI A. JUNE 04, 2004 13 Y/O
MAROHOM, NASIMA A. MARCH 15, 2006 12 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

HOUSE AND RESIDENTIAL PAGALONGAN 150,000 250,000 2010 INHERITED

LOT

Subtotal: 250.000
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

Jewelries (rings, watch) 2016-2017 11,575

Gadget (cellphone) 2015 9950
Appliances (television Refrigerator) 2014 3500
Apparel (long dress veil) 2017 50, 000
Subtotal : 71,950

TOTAL ASSETS (a+b): 321,950

Page 7 of ___
5. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

GSIS CONSO-LOAN 564,342.28

PPSTA LOANS 197,345.00
PAG-IBIG 54,174.00

TOTAL LIABILITIES: 815,861.28

NET WORTH : Total Assets less Total Liabilities = -527,786.28
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ALIAH M. BASHIER SUPERIOR SUPERVISOR CENTRAL GANASSI DISTRICT

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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 282-032-0154 ID No.:
Date Issued: 11-06-2012 Date Issued:

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

_______________________________________
Page 8 of ___
 (Person Administering Oath)

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 2017_______________________
(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 AMEROL, BABAY M. POSITION: TEACHER-111

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: BARIT, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: AMEROL, HADJI YASSER D. POSITION:

(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

NORJANA A. HAJI YASSER 05-02-03 12 Y/O
HAMZAWI B. AMEROL 07-01-07 8 Y/O
PRINCESS ROHAYLA B. AMEROL 08-07-08 7 Y/O
AL-RAJI AMEROL 04-03-11 4 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

LAND AGRICULTURAL PAGONAYAN 30,000 35,000 2000 INHERITED

HOUSE RESIDENCE PAGONAYAN 110,000 120,000 2014 INHERITED

Subtotal: 155.000
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

RUSY MOTORCYCLE 2015 45,730.40

Subtotal : 45,730.40

Page 9 of ___
 TOTAL ASSETS (a+b): 200,730.00

6. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

GSIS LOAN GSIS 226,152.63

PAG-IBIG PAG-IBIG 28,800.00

TOTAL LIABILITIES: 254,954.63

NET WORTH : Total Assets less Total Liabilities = 54, 224.63
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ALIAH M. BASHIER SUPERIOR SUPERVISOR CENTRAL GANASSI DISTRICT
ALMAIRA A. MAROHOM SISTER PRINCIPAL PAMBAGUI ELEMENTARY SCHOOL

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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 282-032-0154 ID No.:
Date Issued: Date Issued:

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

_______________________________________
(Person Administering Oath)

Page 10 of ___
 Revised as of January 2015Per CSC
Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of 2017_______________________
(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 DELINOGUN, MOHAIMA A.. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: PAGALONGAN, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: AMPUAN, AMER M. POSITION: ADMINISTRATIVE ASSISSTANT 3

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DSWD -12
OFFICE ADDRESS: KORONADAL, SOUTH COTABATO

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

NAME DATE OF BIRTH AGE

DANYA JASMINE D. AMPUAN 08-22-2011 6 Y/O
AFNAN ASYLLAH D. AMPUAN 08-06-2013 4 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

LAND AGRICULTURA PUALAS 60,000 70,000 2012 INHERITED

L

Subtotal: 70,000
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

JEWELRIES(BANGLES, RINGS) 2013 - 2014 52,346

GADGET (CELLPHONE) 2014 - 2015 16,222
APPLIANCES 2015-2016 8349

Subtotal : 76,867

Page 11 of ___
 TOTAL ASSETS (a+b): 146,867

7. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

N/A N/A N/A

N/A N/A N/A
N/A N/A N/A
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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

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

ALMAIRA A. MAROHOM AUNT PRINCIPAL PAMBAGUI ELEMENTARY SCHOOL

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: _________________MARCH 26, 2018_____________

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

Government Issued ID: PRC- ID Government Issued ID:

ID No.: 1299450 ID No.:
Date Issued: Date Issued:

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

Page 12 of ___
 _______________________________________
(Person Administering Oath)

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 2017_______________________
(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 GANDAWALI, APIPAH M. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: TALIOGON, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: H. RAUF, ANODEN A. POSITION:

(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

NORLHIDAYA G. H. RAUF 02-04-06 11 Y/O
ALNOR G. H. RAUF 04-07-08 9 Y/O
AL-IHZAM G. H. RAUF 07-09-09 8 Y/O
EHSAN G. H. RAUF 09-13-10 7 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

FARMLAND AGRICULTURA GANASSI 35,000 40,000 2016 INHERITED

L

LOT AND RESIDENCE GANASSI 110,000 150,000 2012 INHERITED

HOUSE

Subtotal: 190,000
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

MOTORCYCLE 2016 35,500

HOME APPLIANCES (TELEVISION) 2017 19, 267.00

Page 13 of ___
 Subtotal : 51, 632

TOTAL ASSETS (a+b): 241,632.00

8. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

CONSO LOAN GSIS 73,000.00

TOTAL LIABILITIES: 73,000.00

NET WORTH : Total Assets less Total Liabilities = 168,632
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
HON. AL-RASHID B. MACAPODI COUSIN MUN. MAYOR GANASSI LANAO DEL SUR
ALIAH M. BASHIER COUSIN SUPERVISOR CENTRAL GANASSI DIST.

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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 104-032-2582 ID No.:
Date Issued: 08-02-2017 Date Issued:

Page 14 of ___
 SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 MACAPANTON, NIHAYA L. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: POBLACION, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: MACAPODI, SADAT B. POSITION: BRGY. CHAIRMAN

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: LGU PARA-ABA GANASSI LDS
OFFICE ADDRESS: GANASSI LANAO DEL SUR

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

NAME DATE OF BIRTH AGE

SITTIE NEHARA M. MACAPODI 02-12-2012 6 Y/O
MOHAMMAD YASSIN M. MACAPODI 09-3-2014 3 Y/O
YASRIMA M. MACAPODI 07-26-2015 2 ½ Y/O
MOHAMMAD YANESAH M. MACAPODI 10-30-2016 1 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

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

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

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

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

Page 15 of ___
JEWELRIES (BANGLES, NECKLACE) 2014 65,550

Subtotal : 65, 550

TOTAL ASSETS (a+b):

9. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOAN PPSTA LOAN 208, 128.00

TOTAL LIABILITIES: 208,128.00

NET WORTH : Total Assets less Total Liabilities = 142,578.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

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

SADAT B. MACAPODI HUSBAND BRGY. CHAIRMAN PARA-ABA GANASSI LANAO 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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 104-032-4233 ID No.:

Page 16 of ___
 Date Issued: 10-13-2017 Date Issued:

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

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 PARAMATA, ALANISAH M. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: TALIOGON, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: PARAMATA, MOHAMMAD POSITION:

(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

BEN ARIEF PARAMATA 05-15-2010 8 Y/O
AL-JADEED PARAMATA 7-18-2012 6 Y/O
FATEEMA-AYEESHA PARAMATA 01-10-2014 4 Y/O
BEN- AFRA PARAMATA 02-04-2016 2 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

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

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

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

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

Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

Page 17 of ___
 COST/AMOUNT

JEWELRIES (BANGLES, NECKLACE) 2016 75,250

APPLIANCES (REFRIGERATOR, TELEVISION) 2016 95, 550.00

Subtotal : 170,800.00

TOTAL ASSETS (a+b):

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOAN PPSTA LOAN 78,200

LOAN PPSTA LOAN 52,700

TOTAL LIABILITIES: 130,900

NET WORTH : Total Assets less Total Liabilities = 39,900.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
HON. AL-RASHID B. MACAPODI COUSIN MUN. MAYOR GANASSI LANAO DEL SUR
HON. DADATOON P. UNCLE BRGY. ABC GANASSI LANAO DEL SUR
MACATANGCOP CHAIRMAN
ALIAH M. BASHIER COUSIN SUPERVISOR CENTRAL GANASSI DISTRICT
ALMAIRA A. MAROHOM SUPERIOR PRINCIPAL PAMBAGUI ELEMENTARY SCHOOL

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: _________________MARCH 26, 2018_____________

Page 18 of ___
 (Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 104-032-2533 ID No.:
Date Issued: 08-02-2017 Date Issued:

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

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 AMEROL, EMIRAH B. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: POBLACION, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: AMEROL, ISAH P. POSITION: PO1

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: PNP
OFFICE ADDRESS: PAGAYAWAN LANAO DEL SUR

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

NAME DATE OF BIRTH AGE

MOHAMMAD ISAH B. AMEROL JR. 10-31-2011 6 Y/O
EMIRAYIEZA HASHREEN B. AMEROL 11-12-2012 5 Y/O
QAISER HASHAM B. AMEROL 05-20-2017 1 Y/O
BEN- AFRA PARAMATA 02-04-2016 2 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

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

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

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

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

Page 19 of ___
 Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

MOTOR (XR) 2016 110,250.00

APPLIANCES (REFRIGERATOR, TELEVISION) 2017 42, 375.00
JEWELRIES (BANGLES, NECKLACE) 2017 80, 299.00

Subtotal : 232,924

TOTAL ASSETS (a+b):

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOAN PPSTA LOAN 78,263.00

LOAN PPSTA LOAN 137, 808.00

TOTAL LIABILITIES: 216, 071.00

NET WORTH : Total Assets less Total Liabilities = 5, 929.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
AMINORAY DISMA AUNT DEPT. OF AGRICULTURE/ MARAWI CITY

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.

Page 20 of ___
 Date: _________________MARCH 26, 2018_____________

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

Government Issued ID: PRC ID Government Issued ID:

ID No.: 1310254 ID No.:
Date Issued: 11-6-2014 Date Issued:

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

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 ABDILLAH, JUNAIRA R. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: MADAYA, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: MACABANGON, WAFFIE M. POSITION:

(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

SITTIE AYEESHA A. MACABANGON 06-05-2012 5 Y/O
ALIBEN A. MACABANGON 11-24-2013 4 Y/O
JAWAIRIE A. MACABANGON 05-17-2015 2 Y/O
NORWAFFA A. MACABANGON 09-29-2016 1 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

LAND AGRICULTURA GANASSI 50, 000.00 60,000.00 2016 INHERITED

L AND MIXED
USE

HOUSE AND RESIDENTIAL GANASSI 70,000.00 80,000.00 2017 INHERITED

LOT

Page 21 of ___
 Subtotal: 140,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

APPLIANCES (REFRIGERATOR, TELEVISION) 2017 20.525.00

JEWELRIES (RINGS, NECKLACE) 2016 10,825.00

Subtotal : 31,380.00

TOTAL ASSETS (a+b): 171,380

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOAN PPSTA LOAN 94,321.51

CALAMITY LOAN PPSTA LOAN 28,085.00

TOTAL LIABILITIES: 122, 406.51

NET WORTH : Total Assets less Total Liabilities = 48,973.49
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ALIAH M. BASHIER SUPERIOR SUPERVISOR CENTRAL GANASSI DIST.
ALMAIRA A. MAROHOM SUPERIOR PRINCIPAL PAMBAGUI ELEMENTARY SCHOOL
ABDILLAH G. BALT FATHER EGT-1 PAGAYAWAN LANAO 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.
Page 22 of ___
 Date: _________________MARCH 26, 2018_____________

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

Government Issued ID: PRC ID Government Issued ID:

ID No.: 1165216 ID No.:
Date Issued: 12-20-2012 Date Issued:

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

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 MACAALANG, NORANIE U. POSITION: TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: POBLACION, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: MACAALANG, SAIBEN A. POSITION:

(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

SAIBEN U. MACAALANG JR. 10-15-2004 13 Y/O
BENJIE U. MACAALANG 05-28-2005 12 Y/O
BENJIE NHOR U. MACAALANG 02-14-2006 11 Y/O
MOHAMMAD U. MACAALANG 04-12-2011 6 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

HOUSE RESIDENTIAL GANASSI 75,000.00 80,000.00 2013 PURCHASED

Page 23 of ___
 Subtotal: 140,000.0
0

b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

APPLIANCES (REFRIGERATOR, TELEVISION) 2017 4,100

GADGET (CELLPHONE) 2003 1,500
APPLIANCES 2015 9,550.00
Subtotal : 15,150

TOTAL ASSETS (a+b): 95,150.00

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOAN PAG-IBIG LOAN 28,000.00

LOAN PPSTA LOAN 100,000.00
CONSO LOAN GSIS 28,000.00

TOTAL LIABILITIES: 156,000.00

NET WORTH : Total Assets less Total Liabilities = 60,850.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

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

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
Page 24 of ___
 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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 104-032-2590 ID No.:
Date Issued: Date Issued:

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

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 BENITO, INORAI S. POSITION: TEACHER-111

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: PAGALONGAN, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: BENITO, ZACARIA M. POSITION:

(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

BENITO, MON’ NESAM SARIP 10-23-2006 12 Y/O
BENITO, JAMEMAH SARIP 09-16-2010 8 Y/O
BENITO, NESREN SARIP 06-08-2013 5 Y/O
BENITO, H’JRIE SARIP 01-17-2009 9 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

HOUSE AND RESIDENTIAL GANASSI 150,000.00 250,000.00 1990 INHERITED

LOT

Page 25 of ___
 Subtotal: 250,000.0
0
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

JEWELRIES (RINGS, NECKLACE) 2015 35,122.00

APPLIANCES (WALL CLOCK, TELEVISION) 2016 13,534.00

Subtotal : 48,656.00

TOTAL ASSETS (a+b): 298,656.00

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

LOAN PPSTA 93,000.00

CONSO LOAN GSIS 73,916.00

TOTAL LIABILITIES: 166,916.00

NET WORTH : Total Assets less Total Liabilities = 131,740.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ALIAH M. BASHIER NIECE DIST. SSUPERVISOR CENTRAL GANASSI DISTRICT
ALMAIRA A. MAROHOM SISTER PRINCIPAL PAMBAGUI ELEMENTARY SCHOOL
SEHAWI S. BENITO SON PO1 PUALAS LDS
SOHAILA S. BENITO DAUGTHER EGT-1 DEPED - ARMM

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.
Page 26 of ___
 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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 104-032-2587 ID No.:
Date Issued: 10-06-2017 Date Issued:

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

_______________________________________
(Person Administering Oath)

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 2017_______________________
(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 BALINDONG, PORNA A. POSITION: MASTER TEACHER-1

:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: CENTRAL GANASSI DISTRICT
ADDRESS: BARIT, GANASSI LANAO DEL SUR OFFICE ADDRESS: GANASSI LANAO DEL SUR

SPOUSE: BALINDONG, GASMALA A. POSITION:

(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

BALINDONG, RAKIM AGUAM 02-24-2002 17 Y/O

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 ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

HOUSE AND RESIDENTIAL GANASSI 150,000.00 200,000.00 1990 INHERITED

LOT

Page 27 of ___
 Subtotal: 200,000.0
0
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

WATCHES 2015 8,420.00

APPLIANCES (RICE COOKER, TELEVISION) 2009 15,350.00
MOTOR CYCLE 2012 25,165.00

Subtotal : 48,937.00

TOTAL ASSETS (a+b): 248,937.00

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING

BALANCE

MULTI PURPOSE LOAN PAG-IBIG 28,000.00

CONSO LOAN GSIS 328,765.44

TOTAL LIABILITIES: 358,765.44

NET WORTH : Total Assets less Total Liabilities = 109,828.44
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
ALIAH M. BASHIER COUSIN DIST. SSUPERVISOR CENTRAL GANASSI DISTRICT
ALMAIRA A. MAROHOM AUNT PRINCIPAL PAMBAGUI ELEMENTARY SCHOOL
BAGUIO A. MACAPODI UNCLE MUN. V-MAYOR GANASSI LDS

I hereby certify that these are true and correct statements of my assets, liabilities, net worth,
Page 28 of ___
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: _________________MARCH 26, 2018_____________

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

Government Issued ID: DEPED ID Government Issued ID:

ID No.: 104-032-2581 ID No.:
Date Issued: 08-02-2017 Date Issued:

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

_______________________________________
(Person Administering Oath)

Page 29 of ___