Marquez Bryan T

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Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF RIZAL
Emp. No.
TIN
SERVICE RECORD

NAME: (If married give full maiden name)


(Surname) (Given Name) (MI)
Date herein should be checked from
birth by Baptismal Certification or
BIRTH: some reliable documents.
(Birth Date) (Birth Place)

This is to certify that the employee named herein above actually rendered services in this office as shown by the service record
below, each of which is supported by appointment and other papers actually issued by this Office and approved by the authorities concerned
Service RECORD OF APPOINTMENT OFFICE/DIVISION SEPARATION
(Inclusive Dates) Designation Status Salary Station/Place of Branch Lv. of Date
From To (1) (2) Assignment abs.w/o pay Cause

(DepEd, DIVISION OF RIZAL)

Teacher I Reg. Perm. Morong NHS Nat'l None


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-do- -do- -do- -do- -do-
-do- -do- -do- -do- -do-
-do- -do- -do- -do- -do-
-do- -do- -do- -do- -do-
-do- -do- -do- -do- -do-

Note: For ______ Purposes Only

magl
Issued in compliance with Executive Order No. 54, dated August 10, 1954, in accordance with Circular No. 58
dated August 10, 1954 of the System.
CERTIFIED CORRECT

Date: April 27, 2022 AMELIA R. DEAN


Administrative Officer V

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