Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION
Region 6

Acct. Nr. G20047

LEAVE RECORD
COMPLETE NAME : GELOGO RUDY y GERONAGA RANK: FO1 DES: 1-October-20
(FAMILY NAME) (GIVEN NAME) (MIDDLE)

UNIT/ASSIGNMENT: Anini-y Fire Station DESIGNATION: Nozzleman/Lineman

VACATION LEAVE SICK LEAVE

Date & Action Taken on
PERIOD Particulars
Earned LWP Balance LWOP Earned LWP Balance LWOP application for leave

1-Oct-20 − 31-Dec-20 3.75 0 3.75 3.75 0 3.75

1-Jan-21 − 31-Dec-21 15.00 0 18.75 15.00 0 18.75
1-Jan-22 − 31-Oct-22 15.00 0 33.75 15.00 0 33.75
1-Jan-23 − 31-May-23 6.25 0 40.00 6.25 0 40.00

40.00 0 40.00 40.00 0 40.00

RECAPITULATION
Balance as of 31 May 2023

EARNED ENJOYED
Vacation Leave : 40.000 0.000 40.000
Sick Leave : 40.000 0.000 40.000
TOTAL : 80.000 0.000 80.000
TOTAL ACCRUED LEAVE : 80.0000

Per OP MO No. 54 CSC MC No. 10 Series of 1988 all accumulated leave earned as of June 16, 1960 is inclusive of Saturdays, Sundays & Holidays while those
leave earned beginning June 17, 1960 is exclusive of Saturday, Sunday & Holidays
I hereby certify on my official oath this document/computation is correct and I hold myself liable for any erroneous or unathorized payment due to this
document/certification.

Issued this 31st day of May 2023.

PURPOSE: For 201 Files Updating

FO1 Ilonah Joy S Abreque SFO1 John Randolph B Baria

STATION LEVEL Station Admin Acting Municipal Fire Marshal

SFO1 Ryan Vic V Jabile SUPT PATRICIO G COLLADO, BFP

PROVINCIAL LEVEL Provincial Admin Provincial Fire Marshal

SINSP MARICEL G CORDERO, BFP CSUPT JERRY D CANDIDO, DSC

REGIONAL LEVEL Regional Admin Regional Director

BFP-QSF-PRMD-016 Rev. ØØ (5.07.18)

 Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF FIRE PROTECTION
Region 6

STATEMENT OF S E R V I C E
(To be accomplished by Employer)

NAME: FO1 GELOGO, RUDY y GERONAGA (BFP) (If married woman, give full maiden name)

BIRTH DATE : 18 December 1989 BIRTHPLACE: GUIMBAL, ILOILO

(Data herein should be checked from birth or baptism certificate or some other
COMPULSORY RETIRED: 18 December 2045 reliable documents.)

This is to certify that the above named employee have actually rendered services in this Office and other agency as shown by the service
record below, each line of which is supported by appointment and other papers actually issued by this Office and approved by the authorities
concerned.

INCLUSIVE DATES RECORDS OF APPOINTMENT OFFICE ENTITY

AUTHORITY
FROM TO POSITION / DESIGNATION STATUS SALARY STATION/PLACE

PO-DSG2023-
PERMANENT San Jose Fire Station,
December 29, 2022 - Present FO1/Admin Staff/Lineman/Nozzleman PHP 29,667.00 01-03A DTD 4
Province of Antique
JAN 2023
DSG-2021-01-
January 21, 2021 - 28-Dec-22 FO1/Nozzleman/Lineman PERMANENT PHP 29,668.00 Bacolod City Fire Station 004 dtd January
21, 2021

REA-2021-01-22
January 20, 2021 - January 20, 2021 FO1 / Duty Personnel PERMANENT PHP 29,668.00 Bacolod City Fire Station dtd January 20,
2021
January 19, 2021 - January 19, 2021 FO1 / Duty Personnel PERMANENT PHP 29,668.00 OPFM Neg. Occ.
January 3, 2021 - January 18, 2021 FO1 / Duty Personnel PERMANENT PHP 29,668.00 ORD BFP 6

December 8, 2020 - January 2, 2021 FO1 / OJT PERMANENT PHP 29,668.00 Bacolod City Fire Station

December 3, 2020 - December 7, 2020 FO1 / Duty Personnel PERMANENT PHP 29,668.00 ORD BFP 6

October 1, 2020 - December 2, 2020 FO1 / ORIENTATION PERMANENT PHP 29,668.00 ORD BFP 6

Page 1 of 1
xxxnothing followsxxx

PURPOSE: For Monthly Report

DATE ISSUED: 13-Nov-24

REMARKS: None
Note:
Issued in compliance with Executive Order No. 54, dated August 10, 1954, and in accordance with Circular No. 58, dated August 10, 1954 of
Compulsorily
the system.
Retired effective
05 April 2017
pursuant to
Bureau Order
Number RET-
Prepared and Verified by:
2016-095 Certified Correct from Records:
effective 10
August 2016.
SFO4 Roel D Albay INSP VIC N MATTA
OIC, Admin NCO Acting Municipal Fire Marshal

BFP-QSF-PRMD-001 Rev. Ø1(03.08.21)

Civil Service Form No. 6
Revised 2020

Republic of the Philippines

Department of the Interior and Local Government Stamp of Date of
Receipt
BUREAU OF FIRE PROTECTION
th
New BFP Building, Block 19-A 4 Main Avenue Phase 3, Alta Tierra
Village, Jaro, Iloilo City

APPLICATION FOR LEAVE

1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle)
Bacolod City Fire Station Gelogo Rudy Geronaga
3. DATE OF FILING 4. POSITION FO1/Nozzleman/Lineman 5. SALARY PHP 29,668.00

6. DETAILS OF APPLICATION
6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Vacation/Special Privilege Leave:

Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines

Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify)

Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave:
Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness)
Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women:

Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292) (Specify Illness)
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. 2005) In case of Study Leave:

Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Completion of Master's Degree

Special Leave Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) BAR/Board Examination Review Other

Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) purpose:

Adoption Leave (R.A. No. 8552) Monetization of Leave Credits

Others: Terminal Leave

6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION

Not Requested

INCLUSIVE DATES Requested

May 7, 2022 - August 14, 2022

(Signature of Applicant)

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION

As of April 30, 2022

Vacation Leave Sick Leave For approval

Total Earned 40.000 40.000 For disapproval due to
Less this application

Balance 40.000 40.000

FO1 Alan G Plantillo II SFO1 Ma. Salome G Joson

Chief Personnel & Training Unit Chief, Admin Section
Authorized Officer Authorized Officer

7.C APPROVED FOR: 7. D DISAPPROVED DUE TO:

days with pay
days without pay
others (Specify)

CINSP RODEL T LEGASPI

City Fire Marshal
Authorized Officer
 INSTRUCTIONS AND REQUIREMENTS
Application for any type of leave shall be made on this Form and to be accomplished d. In the absence of the BPO/TPO/PPO or the certification, a police
at least in duplicate with documentary requirements, as follows: report specifying the details of the occurrence of violence on the victim
and a medical certificate may be considered, at the discretion of the
1. Vacation leave* immediate supervisor of the woman employee concerned.
It shall be filed five (5) days in advance, whenever possible, of the effective date of
such leave. Vacation leave within in the Philippines or abroad shall be indicated in 10. Rehabilitation leave* – up to 6 months
the form for purposes of securing travel authority and completing clearance from • Application shall be made within one (1) week from the time of the
money and work accountabilities. accident except when a longer period is warranted.
• Letter request supported by relevant reports such as the police report,
2. Mandatory/Forced leave if any,
Annual five-day vacation leave shall be forfeited if not taken during the year. In case • Medical certificate on the nature of the injuries, the course of
the scheduled leave has been cancelled in the exigency of the service by the head of treatment involved, and the need to undergo rest, recuperation, and
agency, it shall no longer be deducted from the accumulated vacation leave. rehabilitation, as the case may be.
Availment of one (1) day or more Vacation Leave (VL) shall be considered for • Written concurrence of a government physician should be obtained
complying the mandatory/forced leave subject to the conditions under Section 25, relative to the recommendation for rehabilitation if the attending
Rule XVI of the Omnibus Rules Implementing E.O. No. 292. physician is a private practitioner, particularly on the duration of the
period of rehabilitation.
3. Sick leave*
• It shall be filed immediately upon employee's return from such leave. 11. Special leave benefits for women* – up to 2 months
• If filed in advance or exceeding five (5) days, application shall be accompanied by a • The application may be filed in advance, that is, at least five (5) days
medical certificate. In case medical consultation was not availed of, an affidavit prior to the scheduled date of the gynecological surgery that will be
should be executed by an applicant. undergone by the employee. In case of emergency, the application for
special leave shall be filed immediately upon employee’s return but
4. Maternity leave* – 105 days during confinement the agency shall be notified of said surgery.
• Proof of pregnancy e.g. ultrasound, doctor’s certificate on the expected date of • The application shall be accompanied by a medical certificate filled
delivery out by the proper medical authorities, e.g. the attending surgeon
• Accomplished Notice of Allocation of Maternity Leave Credits (CS Form No. 6a), if accompanied by a clinical summary reflecting the gynecological
needed disorder which shall be addressed or was addressed by the said
• Seconded female employees shall enjoy maternity leave with full pay in the recipient surgery; the histopathological report; the operative technique used for
agency. the surgery; the duration of the surgery including the perioperative
period (period of confinement around surgery); as well as the
5. Paternity leave – 7 days employees estimated period of recuperation for the same.
Proof of child’s delivery e.g. birth certificate, medical certificate and marriage contract
12. Special Emergency (Calamity) leave – up to 5 days
6. Special Privilege leave – 3 days • The special emergency leave can be applied for a maximum of five
It shall be filed/approved for at least one (1) week prior to availment, except on (5) straight working days or staggered basis within thirty (30) days from
emergency cases. Special privilege leave within the Philippines or abroad shall be the actual occurrence of the natural calamity/disaster. Said privilege
indicated in the form for purposes of securing travel authority and completing shall be enjoyed once a year, not in every instance of calamity or
clearance from money and work accountabilities. disaster.
• The head of office shall take full responsibility for the grant of special
7. Solo Parent leave – 7 days emergency leave and verification of the employee’s eligibility to be
It shall be filed in advance or whenever possible five (5) days before going on such granted thereof. Said verification shall include: validation of place of
leave with updated Solo Parent Identification Card. residence based on latest available records of the affected employee;
verification that the place of residence is covered in the declaration of
8. Study leave* – up to 6 months calamity area by the proper government agency; and such other proofs
• Shall meet the agency’s internal requirements, if any; as may be necessary.
• Contract between the agency head or authorized representative and the employee
concerned. 13. Monetization of leave credits
Application for monetization of fifty percent (50%) or more of the
9. VAWC leave – 10 days accumulated leave credits shall be accompanied by letter request to
• It shall be filed in advance or immediately upon the woman employee’s return from the head of the agency stating the valid and justifiable reasons.
such leave.
• It shall be accompanied by any of the following supporting documents: 14. Terminal leave*
a. Barangay Protection Order (BPO) obtained from the barangay; Proof of employee’s resignation or retirement or separation from the
b. Temporary/Permanent Protection Order (TPO/PPO) obtained from the court; service.
c. If the protection order is not yet issued by the barangay or the court, a certification
issued by the Punong Barangay/Kagawad or 15. Adoption Leave
Prosecutor or the Clerk of Court that the application for the BPO, TPO or PPO has • Application for adoption leave shall be filed with an authenticated
been filed with the said office shall be sufficient to support the application for the ten- copy of the Pre-Adoptive Placement Authority issued by the
day leave; or Department of Social Welfare and Development (DSWD).

* For leave of absence for thirty (30) calendar days or more and terminal leave, application shall be accompanied by a clearance from money,
property and work-related accountabilities (pursuant to CSC Memorandum Circular No. 2, s. 1985).
\
Civil Service Form No. 6
Revised 2020

Republic of the Philippines

Department of the Interior and Local Government Stamp of Date of
Receipt
BUREAU OF FIRE PROTECTION
th
New BFP Building, Block 19-A 4 Main Avenue Phase 3, Alta Tierra
Village, Jaro, Iloilo City

APPLICATION FOR LEAVE

1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle)
Bacolod City Fire Station ABUCAY CLEO LOPEZ
3. DATE OF FILING 4. POSITION FO3/FTO 5. SALARY PHP 32,114.00

6. DETAILS OF APPLICATION
6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Vacation/Special Privilege Leave:

Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines

Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify)

Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave:
Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness)
Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women:

Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292) (Specify Illness)
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. 2005) In case of Study Leave:

Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Completion of Master's Degree

Special Leave Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) BAR/Board Examination Review Other

Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) purpose:

Adoption Leave (R.A. No. 8552) Monetization of Leave Credits

Others: Terminal Leave

6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION

Not Requested

INCLUSIVE DATES Requested

May 7, 2022 - August 14, 2022

(Signature of Applicant)

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION

As of April 30, 2022

Vacation Leave Sick Leave For approval

Total Earned 73.500 102.500 For disapproval due to
Less this application

Balance 73.500 102.500

SFO1 Herchel A Baldivia CINSP RODEL T LEGASPI

Chief, Admin Section City Fire Marshal
Authorized Officer Authorized Officer

7.C APPROVED FOR: 7. D DISAPPROVED DUE TO:

days with pay
days without pay
others (Specify)

CSUPT JERRY D CANDIDO

Regional Director
Authorized Officer
 INSTRUCTIONS AND REQUIREMENTS
Application for any type of leave shall be made on this Form and to be accomplished d. In the absence of the BPO/TPO/PPO or the certification, a police
at least in duplicate with documentary requirements, as follows: report specifying the details of the occurrence of violence on the victim
and a medical certificate may be considered, at the discretion of the
1. Vacation leave* immediate supervisor of the woman employee concerned.
It shall be filed five (5) days in advance, whenever possible, of the effective date of
such leave. Vacation leave within in the Philippines or abroad shall be indicated in 10. Rehabilitation leave* – up to 6 months
the form for purposes of securing travel authority and completing clearance from • Application shall be made within one (1) week from the time of the
money and work accountabilities. accident except when a longer period is warranted.
• Letter request supported by relevant reports such as the police report,
2. Mandatory/Forced leave if any,
Annual five-day vacation leave shall be forfeited if not taken during the year. In case • Medical certificate on the nature of the injuries, the course of
the scheduled leave has been cancelled in the exigency of the service by the head of treatment involved, and the need to undergo rest, recuperation, and
agency, it shall no longer be deducted from the accumulated vacation leave. rehabilitation, as the case may be.
Availment of one (1) day or more Vacation Leave (VL) shall be considered for • Written concurrence of a government physician should be obtained
complying the mandatory/forced leave subject to the conditions under Section 25, relative to the recommendation for rehabilitation if the attending
Rule XVI of the Omnibus Rules Implementing E.O. No. 292. physician is a private practitioner, particularly on the duration of the
period of rehabilitation.
3. Sick leave*
• It shall be filed immediately upon employee's return from such leave. 11. Special leave benefits for women* – up to 2 months
• If filed in advance or exceeding five (5) days, application shall be accompanied by a • The application may be filed in advance, that is, at least five (5) days
medical certificate. In case medical consultation was not availed of, an affidavit prior to the scheduled date of the gynecological surgery that will be
should be executed by an applicant. undergone by the employee. In case of emergency, the application for
special leave shall be filed immediately upon employee’s return but
4. Maternity leave* – 105 days during confinement the agency shall be notified of said surgery.
• Proof of pregnancy e.g. ultrasound, doctor’s certificate on the expected date of • The application shall be accompanied by a medical certificate filled
delivery out by the proper medical authorities, e.g. the attending surgeon
• Accomplished Notice of Allocation of Maternity Leave Credits (CS Form No. 6a), if accompanied by a clinical summary reflecting the gynecological
needed disorder which shall be addressed or was addressed by the said
• Seconded female employees shall enjoy maternity leave with full pay in the recipient surgery; the histopathological report; the operative technique used for
agency. the surgery; the duration of the surgery including the perioperative
period (period of confinement around surgery); as well as the
5. Paternity leave – 7 days employees estimated period of recuperation for the same.
Proof of child’s delivery e.g. birth certificate, medical certificate and marriage contract
12. Special Emergency (Calamity) leave – up to 5 days
6. Special Privilege leave – 3 days • The special emergency leave can be applied for a maximum of five
It shall be filed/approved for at least one (1) week prior to availment, except on (5) straight working days or staggered basis within thirty (30) days from
emergency cases. Special privilege leave within the Philippines or abroad shall be the actual occurrence of the natural calamity/disaster. Said privilege
indicated in the form for purposes of securing travel authority and completing shall be enjoyed once a year, not in every instance of calamity or
clearance from money and work accountabilities. disaster.
• The head of office shall take full responsibility for the grant of special
7. Solo Parent leave – 7 days emergency leave and verification of the employee’s eligibility to be
It shall be filed in advance or whenever possible five (5) days before going on such granted thereof. Said verification shall include: validation of place of
leave with updated Solo Parent Identification Card. residence based on latest available records of the affected employee;
verification that the place of residence is covered in the declaration of
8. Study leave* – up to 6 months calamity area by the proper government agency; and such other proofs
• Shall meet the agency’s internal requirements, if any; as may be necessary.
• Contract between the agency head or authorized representative and the employee
concerned. 13. Monetization of leave credits
Application for monetization of fifty percent (50%) or more of the
9. VAWC leave – 10 days accumulated leave credits shall be accompanied by letter request to
• It shall be filed in advance or immediately upon the woman employee’s return from the head of the agency stating the valid and justifiable reasons.
such leave.
• It shall be accompanied by any of the following supporting documents: 14. Terminal leave*
a. Barangay Protection Order (BPO) obtained from the barangay; Proof of employee’s resignation or retirement or separation from the
b. Temporary/Permanent Protection Order (TPO/PPO) obtained from the court; service.
c. If the protection order is not yet issued by the barangay or the court, a certification
issued by the Punong Barangay/Kagawad or 15. Adoption Leave
Prosecutor or the Clerk of Court that the application for the BPO, TPO or PPO has • Application for adoption leave shall be filed with an authenticated
been filed with the said office shall be sufficient to support the application for the ten- copy of the Pre-Adoptive Placement Authority issued by the
day leave; or Department of Social Welfare and Development (DSWD).

* For leave of absence for thirty (30) calendar days or more and terminal leave, application shall be accompanied by a clearance from money,
property and work-related accountabilities (pursuant to CSC Memorandum Circular No. 2, s. 1985).
\
FOR TRAVEL AND STUDY LEAVE FORM (REGIONAL) LMS NO.:

Republic of the Philippines

Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
Region 6

APPLICATION FOR LEAVE

1. UNIT/OFFICE/DIRECTORATE 2. NAME (Last) (First) (Middle)

Bacolod City Fire Station Abucay Ceo Lopez
3. DATE OF FILING 4. RANK/POSITION (STATUS OF APPTMNT) 5. SALARY
FO3/Nozzleman/Lineman Permnanent PHP 32,114.00
6. a) TYPE OF LEAVE b) WHERE LEAVE WILL BE SPENT
(1) IN CASE OF VACATION LEAVE
Vacation Abroad (Specify)

Others (Specify) (2) IN CASE OF SICK LEAVE

( ) Abroad (Specify)
Sick
( ) Name of Hospital (Specify)
Others (Specify)
( ) Outpatient (Specify)

c) NO. OF WORKING DAYS APPLIED FOR d) COMMUTATION

Reqstd Not Reqstd
Inclusive Date

Signature of Applicant

7. a) CERTIFICATION OF LEAVE CREDITS PRESENT ADDRESS:

as of

Vacation Sick Total 7. b) RECOMMENDATION

Approved for days with pay
#REF! #REF! #REF! days without pay
Others (specify)

Disapproved due to

SFO3 Ronita L Lapating

C, Leave Management Section Chief Directorial Staff

Deputy Chief for Administration

CSUPT JERRY D CANDIDO, DSC
Regional Director DIRECTOR LOUIE S PURACAN, CESO VI
Chief, BFP

Approving Authority:

NESTOR F QUINSAY EDUARDO M AÑO

Undersecretary, DILG Secretary, DILG

BFP-QSF-PRMD-021 Rev. ØØ (05.23.18)

 Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
Regional Office - VI
3rd Floor New BFP Building Gen. M. Peralta Jr. Drive, Iloilo City
Tel. / Fax No. (033) 337-69-18
Email: bfp_region6@yahoo.com

Control No.ORS 2018-01

REGION VI 30-August-2018
DATE
I. PERSONNEL RECORDS (to be filled-up by Records Section, Administrative Division)

RANK/NAME: FO3 Jose C Dela Cruz 8-Jul-10

8.14
UNIT ASSIGNMENT: Admin Division-ORD-BFP6 .1
32114
LEAVE CREDITS EARNED AS OF: 30-Jun-18 3211.4
35325.4
VACATION LEAVE: 42.708 TOTAL ACCRUED LEAVE: 132.416

SICK LEAVE: 89.708

NUMBER OF LEAVE TO BE MONETIZED: 30 days ESTIMATED AMOUNT: ₱51,072.79

PURPOSE/S: Payment for monthly obligations

VERIFIED BY: CERTIFIED CORRECT:

SFO3 Rona L Lapating CINSP LORNA D PARCELLANO

Leave Processor/OIC, Records Section Chief, Admin Division

---------------------------------------------------------------------------------------------
II. MONITORING/RECORD (to be filled-up by Checking Section, Cash Management Division)

Check Number: Amount:

Received By: Date Received:

Entry Made by: Verified Correct:

OIC, FDS

Note: Please return to Records Section/Administrative Division for Reference