Form No.

01-02
(Revised, 1999)
SERVICE RECORD
(To be accomplished by Employer)

Name: CENABRE YVETTE BARADILLO (If married women, give also full
(Surname) (Given Name) (M.I) Maiden name.)

Birth: September 22, 1980 Diatagon, Lianga, SDS. (Date herein should be checked
(Date) (Place) from birth or baptismal certificate or
some other reliable documents.)
Employee No. 4181632
THIS IS TO CERTIFY that the employee named herein above actually rendered service in the
office as shown by the service record below, each line which is supported by appointment and
other papers actually issued by this Office and approved by this authorities concerned:

SERVICE RECORD OF APPOINTMENT OFFICE/ENTITY/DIVISION REMARKS

(Inclusive Dates) Position Status Salary Station/Place Branch
From To (1) (2) (3) of Assignment (4)

10-27-03 10-26-06 Teacher I Perm. 119268.00 Lianga Nat'l. SA-NBC#474

10-27-06 6-30-07 " " 122256.00 " " NOSI

7- 1-07 6-30-08 " " 134484.00 " " SA-NBC#511

7- 1-08 6-30-09 " " 147936.00 " " SA-NBC#516

7- 1-09 10-26-09 " " 173796.00 " " SA-NBC#521

10-27-09 6-23-10 " " 177300.00 " " NOSI

6-24-10 11- 4-10 " " 193884.00 " " SA-NBC#524

11- 5-10 Resigned

xxxxxxxxx Nothing follows xxxxxxxxxxx

NOT VALID WITHOUT CERTIFIED CORRECT:

SEAL

DATE ISSUED: SHIRLENE E. CRABAJALES

August 26, 2014 Administrative Officer V
e in the
ent and

REMARKS
LV/abs
w/o pay

6-1-09 to
11-5-10 pers.
lv w/o pay

BAJALES
cer V
"For application of loan purposes and not for retirement purposes"