DEPARTMENT OF EDUCATION

Region X-Northern Mindanao

DIVISION OF MALAYBALAY CITY
NAME OF SCHOOL/DISTRICT
ADDRESS

Summary List of Filers

Statement of Assets, Liabilities and Net Worth
Calendar Year 2016

NAME OF EMPLOYEE (in alphabetical Order)

No. SURNAME FIRST NAME MIDDLE NAME TIN

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Total Number of Filers:
Total Number of Personnel Complement:
Prepared by: Certified true and correct:

GUIA MA. G. GAMUTIN

Secondary School Head/PSDS Administrative Officer IV

Email Address: __________________ Personnel.depedmalaybalay@gmai

Contact #: __________________ 088-314-0094
Date: __________________ ___________________
 Attachment A
DEPARTMENT OF EDUCATION
Region X-Northern Mindanao
DIVISION OF MALAYBALAY CITY
NAME OF SCHOOL/DISTRICT
ADDRESS

Summary List of Filers

ment of Assets, Liabilities and Net Worth
Calendar Year 2016

If Spouse with government service PLEASE Please Check () if

POSITION NET WORTH INDICATE NAME OF Joint Filing
SPOUSE/EMPLOYEER/ADDRESS
rue and correct: Noted by:

GUIA MA. G. GAMUTIN REBONFAMIL R. BAGUIO

Administrative Officer IV Schools Division Superintendent

Personnel.depedmalaybalay@gmail.com malaybalay.city@deped.gov.ph
088-314-0094 088-314-0094
___________________ ________________________