(SCHOOL LOGO)

DR. IMELDA P. MACASPAC

Officer In-Charge
Schools Division Superintendent
Division of Tarlac Province

Madam:

I have the honor to submit herewith the duly accomplished Statement of Assets, Liabilities and Networth
of the teaching and non-teaching personnel of Department of Education Schools Division of Tarlac Province,
Tarlac City for the calendar year 2018.

CLUSTER:
SCHOOL/DISTRICT:

List of Teaching & Non Teaching Personnel who submit SALN:

If Joint Filing,
NO. LAST NAME FIRST NAME MIDDLE NAME POSITION indicate the name
of your Spouse

List of Teaching & Non Teaching Personnel who did not submit SALN:

NO. LAST NAME FIRST NAME MIDDLE NAME POSITION

Very truly yours,

(School Head)