QUARTERLY REPORT ON SEPARATION

For the period of October 1, 2020 to December 31, 2020

Agency: _____________________

NAME POSITION TITLE SALARY STATUS OF EFFECTIVITY DATE MODE OF

GRADE APPOINTMENT OF SEPARATION SEPARATION

_____________________ MSWDO I SG 24 PERMANENT DECEMBER 1, 2020 RETIRED

_____________________ AT I SG 11 PERMANENT DECEMBER 1, 2020 TRANSFERRED

______________________ RCC I SG 5 PERMANENT NOVEMBER 1, 2020 RETIRED

INSTRUCTION: This report shall be submitted to CSC We hereby certify that the above information is true and correct based
not later than the 5th day of the succeeding quarter. All on our official records.
employees separated from the agency shall be reported.

__________________________ _________________________

Administrative Officer IV Municipal Mayor

Date: DECEMBER 28, 2020 Date: DECEMBER 28, 2020

 QUARTERLY REPORT ON ACCESSION
For the period of October 1, 2020 to December 31, 2020

Agency:

NAME POSITION TITLE SALARY STATUS OF EFFECTIVITY DATE MODE OF

GRADE APPOINTMENT OF APPOINTMENT ACCESSION

NONE NA NA NA NA NA

INSTRUCTION: This report shall be submitted to CSC We hereby certify that the above information is true and correct based
not later than the 5th day of the succeeding quarter. All on our official records.
new employees hired by the agency shall be reported.

___________________________ _______________________

Administrative Officer IV Municipal Mayor

Date: DECEMBER 28, 2020 Date: DECEMBER 28, 2020