ANNEX B

CERTIFICATION
I, ____________________, in compliance with Administrative Order No. 19, series of 2019, entitled Guidelines on Allocations for

DSWD Personnel for Mobile Communications and Data Services (the “Guidelines”), hereby certify:

1. For the period from _______________ to ______________, I held the position of ________________________ at the

______________ (OBSU) of the DSWD.

2. Under the Guidelines, I was allocated a ceiling of Php ___________ for Mobile communications and Data Services, specifically for

mobile phone line(s) with no(s).:

__________________

__________________

__________________

3. All calls, texts, and data usage of said mobile phone line(s) during said period were for official DSWD use only.

______________________(DATE), Olongapo City, Philippines.

_____________________

Claimant

SUBSCRIBED AND SWORN TO before me on the above date and place.

_______________________
Division Chief Concern

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DSWD Field Office III, Government Center, Maimpis, City of San Fernando, Pampanga, 2000 Philippines

Website: www.fo3.dswd.gov.ph Tel Nos.: (045) 961-2143