Republic of the Philippines

Department of Education
Region IV-A CALABARZON

VIVA ANTIPOLO ES/SAN FRANCISCO DISTRICT II

SPECIAL HARDSHIP ALLOWANCE 2020
Number of Days Travel FY 2020 Transport Inaccessibility

Number of
KM from the
POSITION ACTUAL SALARY JAN. TOTA regular
District/ School NAME OF TEACHER TITLE PER MONTH
FEB. MAR. APR. MAY JUNE JULY AUG. SEPT. OCT. NOV. DEC. L transpo(as
per
certification)
Means of Transpo
(Write 1-Hiking, 2-
Animal Ride 3-Banca 4-
Others (please
specified)
Viva Antipolo ES BON ERIC V. SALARZA TII 24,495.00 0 0 0 0 0 0 0 0 0 4 3 13 20 HABAL/ BANCA 37 km
Viva Antipolo ES IRENE MAY L. LEGASPI TI 22,600.00 0 0 0 0 0 0 0 0 0 17 10 13 40 HABAL/ BANCA 37 km
Viva Antipolo ES VENUZ E. OGALISCO TI 22,316.00 0 0 0 0 0 0 0 0 0 14 7 13 34 HABAL/ BANCA 37 km
Viva Antipolo ES EDNA R. BANDIANO TI 22,600.00 0 0 0 0 0 0 0 0 0 8 0 13 21 HABAL/ BANCA 37 km
Viva Antipolo ES JOAN MAE U. OLIVER TI 22,600.00 0 0 0 0 0 0 0 0 0 10 4 13 27 HABAL/ BANCA 37 km
Viva Antipolo ES RODERICK V. OLIVER TI 22,600.00 0 0 0 0 0 0 0 0 0 15 8 13 36 HABAL/ BANCA 37 km
Viva Antipolo ES LESLIE ANN O. RECTO TI 22,316.00 0 0 0 0 0 0 0 0 0 17 12 13 42 HABAL/ BANCA 37 km
Viva Antipolo ES MICHELLE D. URSABIA TI 22,316.00 0 0 0 0 0 0 0 0 0 18 14 20 52 HABAL/ BANCA 37 km

Prepared by:

MICHELLE D. URSABIA
Teacher In Charge
ACCOUNT NUMBER Signature

1635-0075-80
1635-0259-87
2446-1554-00
1635-0261-18
1635-0239-68
1635-0239-76
1635-0340-29
1635-0251-62
 Republic of The Philippines
Province of Quezon
MUNICIPALITY OF SAN FRANCISCO

CERTIFICATION
This is to certify that the distance travel of School Head/Teacher from the nearest point of available
regular motorized land/water transport from terminal (minimum distance of 37 km) to the school is true and correct.

Means of Transpo
Number of KM from
(Write 1-Hiking, 2-
the regular
DISTRICT/SCHOOL NAME OF TEACHER POSITION TITLE PERMANENT ADDRESS Animal Ride 3-Banca
transpo(as per
4-Others (please
certification)
specified)
San Francisco II/ Viva Antipolo ES BON ERIC V. SALARZA TEACHER II SAN FRANCISCO, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES IRENE MAE L. LEGASPI TEACHER I SAN FRANCISCO, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES VENUZ E. OGALISCO TEACHER I ATIMONAN, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES EDNA R. BANDIANO TEACHER I AGDANGAN, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES JOAN MAE U. OLIVER TEACHER I ATIMONAN, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES RODERICK V. OLIVER TEACHER I ATIMONAN, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES LESLIE ANN O. RECTO TEACHER I SAN FRANCISCO, QUEZON BANCA/ HABAL-HABAL 37KM
San Francisco II/ Viva Antipolo ES MICHELLE D. URSABIA TEACHER I/TIC SAN FRANCISCO, QUEZON BANCA/ HABAL-HABAL 37KM

Issued and signed upon the request of the interested party this 21th day of November , 2020 as a requirement for Special Hardship Allowance

Noted by: JUAN MARCOS V. VENDER

CYNTHIA M. MARQUEZ Barangay Captain
District Supervisor
 NATURE OF
ENVIRONMENT

COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS
COASTAL/ MOUNTAINS

nce
 DepEd Division of Quezon
Talipan,Paglibao,Quezon

CERTIFICATE OF TRAVEL
SPECIAL HARDSHIP ALLOWANCE 2020

Number of Days Travel to his/her Station FY 2020

Actual
Position Title as Salary Per
District /School Name of Teacher Month as Per Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec.
per Plantilla
Latest Pay
Slip
SAN FRANCISCO DISTRICT
San Francisco/ Viva Antipolo E/S BON ERIC V. SALARZA TEACHER II 24,495.00 0 0 0 0 0 0 0 0 0 3 2 13
San Francisco/ Viva Antipolo E/S IRENE MAY L. LEGASPI TEACHER I 22,600.00 0 0 0 0 0 0 0 0 0 17 10 13
San Francisco/ Viva Antipolo E/S VENUZ E. OGALISCO TEACHER I 22,316.00 0 0 0 0 0 0 0 0 0 14 6 13
San Francisco/ Viva Antipolo E/S EDNA R. BANDIANO TEACHER I 22,600.00 0 0 0 0 0 0 0 0 0 8 0 13
San Francisco/ Viva Antipolo E/S JOAN MAE U. OLIVER TEACHER I 22,600.00 0 0 0 0 0 0 0 0 0 10 4 13
San Francisco/ Viva Antipolo E/S RODERICK V. OLIVER TEACHER I 22,600.00 0 0 0 0 0 0 0 0 0 15 8 13
San Francisco/ Viva Antipolo E/S LESLIE ANN O. RECTO TEACHER I 22,316.00 0 0 0 0 0 0 0 0 0 17 12 12
San Francisco/ Viva Antipolo E/S MCHELLE D. URSABIA TEACHER I 22,316.00 0 0 0 0 0 0 0 0 0 18 14 20

MICHELLE D. URSABIA
School Head
 Total

18
40
33
21
27
36
41
52

IA