Mandatory Report

REPUBLIC OF THE PHILIPPINES Annex I
DEPARTMENT OF EDUCATION
REGION I
PANGASINAN DIVISION II
BINALONAN, PANGASINAN
I have the honor to submit List of Retirees (Mandatory) for the month of JANUARY 2023
Date (Mo/Day/Year) Highest Monthly Salary TERMINAL LEAVE
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Birth Orig. Appt. Ret. (Per NOSA) No. of Leave Credits Earned Amount Status/Remarks
Retirement Law
VL SL
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex J
REGION I
I have the honor to submit List of Retirees (Optional) for the month of JANUARY 2023
Date (Mo/Day/Year) Highest Monthly Salary TERMINAL LEAVE
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Birth Orig. Appt. Ret. (Per NOSA) No. of Leave Credits Amount Status/Remarks
Earned
Retirement Law
VL SL
39 SISON BULAOEN WEST ES
TOTAL
REPUBLIC OF THE PHILIPPINES Annex K
REGION I
I have the honor to submit List of Resigned Personnel for the month of JANUARY 2023
Date of Month of Last

STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Status/Remarks
Resignation Payment
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex H
REGION I
I have the honor to submit List of Personnel who applied for leave of absence for the month of JANUARY 2023
No. of Leave Credits

No. of Leave Credits
No. of Applied for Amount for
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Dates of Leave Status/Remarks
Days/Months Deduction
With Pay Without Pay VL SL
TOTAL
REPUBLIC OF THE PHILIPPINES Annex L-1
REGION I
I have the honor to submit List of Personnel who are entitled to receive Harsdhip Pay-Post Allowance for the month of JANUARY 2023
Rate Per No. of

STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Rate/Percentage
Month Months
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex L-2
REGION I
I have the honor to submit Status of Payment of List of Personnel who are entitled to receive Harsdhip Pay Post Allowance as of JANUARY 2023
Rate Per No. of Date of LDDAP Amount Reason for Non-

STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Month Rate/Percentage Months Date of DV DV No. LDDAP- ADA No. Paid Period Status/Remarks Payment
ADA
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex M-1
REGION I
I have the honor to submit List of Personnel who are entitled to receive Harsdhip Pay Allowance-Multi-Grade Teachers for the month of JANUARY 2023
Rate Per No. of

STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Rate/Percentage
Month Months
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex M-2
REGION I
I have the honor to submit Status of Payment of List of Personnel who are entitled to receive Harsdhip Pay Allowance-Multi-Grade Teachers as of JANUARY 2023
Date of
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Rate Per Rate/Percentage No. of Date of DV No. LDDAP- LDDAP ADA Amount Period Status/Remarks Reason for Non-
Month Months DV ADA No. Paid Payment
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex N-1
REGION I
I have the honor to submit List of Personnel who are entitled to receive Harsdhip Pay Allowance- ALS Coordinators for the month of JANUARY 2023
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Rate Per Rate/Percentage No. of
Month Months
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex N-2
REGION I
I have the honor to submit List of Personnel who are entitled to receive Harsdhip Pay Allowance- ALS Coordinators as of JANUARY 2023
Date of
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Rate Per Rate/Percentage No. of Date of DV No. LDDAP- LDDAP Amount Period Status/ Reason for Non-
Month Months DV ADA No. Paid Remarks Payment
ADA
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex O-1
REGION I
I have the honor to submit the List of Personnel who applied for Monetization of Leave Credits as of JANUARY 2023
Monthly Leave Credits Earned No. of Leave Credits Applied for Monetization Amount
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME
Salary
VL SL Total VL SL TOTAL
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex O-2
REGION I
I have the honor to submit the Status of Payment of List of Personnel who applied for Monetization of Leave Credits as of JANUARY 2023
Monthly Leave Credits Earned No. of Leave Credits Applied for Monetization No. of Leave Credits Applied for Monetization
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Amount
Salary Date of
LDDAP- LDDAP- Amount Reason for Non-
VL SL Total VL SL TOTAL Date of DV DV No. ADA ADA No. Paid VL SL TOTAL Status/Remarks Payment
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex P-1
REGION I
I have the honor to submit the List of Personnel who will be granted a LOYALTY PAY for the month of JANUARY 2023
Date of Effectivity
FIRST MIDDLE Years in Years of
STATION
DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. LAST NAME Original Date of Amount
NAME NAME Service Entitlement
Appointment Entitlement
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex P-2
REGION I
I have the honor to submit the Status of Payment of List of Personnel who will be granted a LOYALTY PAY as of JANUARY 2023
Date of
Original Years in Effectivity Years of Date of Date of LDDAP Amount Reason
STATION DISTRICT SCHOOL ITEM NO. POSITION TITLE EMP NO. FIRST NAME MIDDLE NAME LAST NAME Appoint Service Date of Entitlement Amount DV DV No. LDDAP- ADA Paid Status/Remarks for Non-
ment Entitlement ADA No. Payment
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex Q-1
REGION I
I have the honor to submit the Status of Payment of List of Substitute Personnel AS OF JANUARY 2023
Name DV
No. of
Eff. Date of REASON FOR
STATION DISTRICT SCHOOL POSITION TITLE Months Salary SG/STEP PERIOD AMOUNT PAID STATUS/REMARKS
FIRST NAME MIDDLE NAME LAST NAME Implementation Date No. NON-PAYMENT
Employed
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex Q-2
REGION I
I have the honor to submit the List of Personnel who were appointed as a Substitute for the Month of JANUARY 2023
Name
No. of
STATION DISTRICT SCHOOL POSITION TITLE Months Eff. Date of Salary SG/STEP
FIRST NAME MIDDLE NAME LAST NAME Implementation
Employed
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex A-2
REGION I
I have the honor to submit the Status of Payment of Personnel who were granted a SALARY DIFFERENTIAL DUE TO STEP INCREMENT AS OF JANUARY 2023
Name of Incumbent Salary Per Month DV LDDAP-ADA AMOUNT PAID

MONTH OF
STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE EMP NO. SG/STEP Eff. Date of SUPPLEMENTARY PERIOD TOTAL STATUS/REMARKS REASON FOR
FIRST NAME MIDDLE NAME LAST NAME Implementation Previous Adjusted/ Date No. Date No. Salary Mid Year Year End PHIC RLIP NON-PAYMENT
Present PAYROLL Bonus Bonus
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex A
REGION I
I have the honor to submit the List of Personnel who will be granted a SALARY DIFFERENTIAL DUE TO STEP INCREMENT FOR THE MONTH OF JANUARY 2023
POSITION Name of Incumbent Eff. Date of Salary Per Month

STATION DISTRICT SCHOOL ITEM NUMBER EMP NO. SG/STEP
TITLE FIRST NAME MIDDLE NAME LAST NAME Implementation OLD NEW Differential
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex B-2
REGION I
I have the honor to submit the Status of Payment of Personnel who were granted a SALARY DIFFERENTIAL DUE TO PROMOTION AS OF JANUARY 2023
ITEM NUMBER POSITION TITLE SALARY GRADE/STEP Salary Per Month DV LDDAP-ADA MONTH OF AMOUNT PAID
Eff. Date of REASON FOR
STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME SUPPLEMENTARY PERIOD Mid Year Year End TOTAL STATUS/REMARKS
OLD NEW OLD NEW OLD NEW Implementation OLD NEW Date No. Date No. PAYROLL Salary PHIC RLIP NON-PAYMENT
Differential Bonus Bonus
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex B-1
REGION I
I have the honor to submit the List of Personnel who will be granted a SALARY DIFFERENTIAL DUE TO PROMOTION FOR THE MONTH OF JANUARY 2023
ITEM NUMBER POSITION TITLE SALARY GRADE/STEP Eff. Date of Salary Per Month
STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME
OLD NEW OLD NEW OLD NEW Implementation OLD NEW Differential
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex C-1
REGION I
I have the honor to submit the List of Newly Hired Personnel for the month of JANUARY 2023
Name of Incumbent Basic First Day of

STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE DATE OF CIVIL STATUS BP. NO. TIN NO. ACCOUNT NO. PHILHEALTH PAG-IBIG NO. Effectivity Date of SG/STEP
FIRST NAME MIDDLE NAME LAST NAME BIRTH NO. OF DEPS NO. Appointment Monthly Salary Service
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex C-2
REGION I
I have the honor to submit the Status of Payment of the of Newly Hired Personnel as of JANUARY 2023
Name of Incumbent Basic First Day of DV LDDAP-ADA AMOUNT PAID

DATE OF CIVIL STATUS PHILHEALTH Effectivity Date of MONTH OF SUPPLEMENTARY
STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE BP. NO. TIN NO. ACCOUNT NO. PAG-IBIG NO. SG/STEP PERIOD Clothing Mid Year Year End TOTAL STATUS/REMARKS REASON FOR NON-PAYMENT
FIRST NAME MIDDLE NAME LAST NAME BIRTH NO. OF DEPS NO. Appointment Monthly Salary Service Date No. Date No. PAYROLL Salary PHIC Pag-ibig RLIP
Allowance Bonus Bonus
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex D-1
REGION I
I have the honor to submit the List of Personnel who were transferred to another schools (non-implementing units within PANGASINAN II) for the month of JANUARY 2023
ITEM NUMBER NEW

Eff. Date of
STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME POSITION TITLE SCHOOL/DISTRICT/S
OLD NEW Implementation
TATION
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES
REGION I
PANGASINAN DIVISION II Annex D-2
I have the honor to submit the Status of Personnel who were transferred to another schools (non-implementing units within PANGASINAN II) as of JANUARY 2023.
ITEM NUMBER PREVIOUS SCHOOL PRESENT SCHOOL

NEW Eff. Date of
STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME POSITION TITLE SCHOOL/DISTRICT/S Implementation REASON FOR NON- REASON FOR NON- REMARKS/STATUS
OLD NEW TATION Date of Stoppage Month of Last Payment STATUS/REMARKS STOPPAGE Date of Inclusion Month of First Payment STATUS/REMARKS PAYMENT
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex E-1
REGION I
I have the honor to submit the List of Personnel who were transferred to another schools (Non-IUS within PANGASINAN II) and will be granted a SALARY DIFFERENTIAL DUE TO PROMOTION FOR THE MONTH OF JANUARY 2023
STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE SALARY GRADE/STEP Salary Per Month
EMP NO. FIRST NAME MIDDLE NAME LAST NAME Eff. Date of
OLD NEW OLD NEW OLD NEW OLD NEW OLD NEW OLD NEW Implementation OLD NEW
Differential
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex E-2
REGION I
I have the honor to submit the Status of Payment of Personnel who were transferred to another schools (Non-IUS within PANGASINAN II) and will be granted a SALARY DIFFERENTIAL DUE TO PROMOTION AS OF JANUARY 2023
STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE SALARY GRADE/STEP Salary Per Month DV LDDAP-ADA AMOUNT PAID PREVIOUS SCHOOL
MONTH OF
Eff. Date of REASON FOR Month of REASON STATUS/
EMP NO. FIRST NAME MIDDLE NAME LAST NAME SUPPLEMENTARY PERIOD Mid Year Year End TOTAL Date of
OLD NEW OLD NEW OLD NEW OLD NEW OLD NEW OLD NEW Implementation OLD NEW Date No. Date No. Salary PHIC RLIP NON-PAYMENT Last FOR NON- REMARKS
PAYROLL Bonus Bonus Stoppage
Differential Payment STOPPAGE
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex F-2
REGION I
I have the honor to submit the Status of Payment of Personnel who were transferred to another schools (IUS within PANGASINAN II) AS OF JANUARY 2023.
STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE SALARY GRADE/STEP

Eff. Date of Month REASON FOR
Date of of
EMP NO. FIRST NAME MIDDLE NAME LAST NAME Last NON- Remarks
OLD NEW OLD NEW OLD NEW OLD NEW OLD NEW OLD NEW Implementation Stoppage Payment STOPPAGE
NONE
TOTAL
REGION I
PANGASINAN DIVISION II Annex F-1
I have the honor to submit the Status of Personnel who were transferred to another schools (implementing units within PANGASINAN II) as of JANUARY 2023.
ITEM NUMBER NEW

Eff. Date of Date of Month of Last REASON FOR
STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME POSITION TITLE SCHOOL/DISTRICT/S STATUS/REMARKS
OLD NEW Implementation Stoppage Payment NON-STOPPAGE
TATION
NONE
TOTAL
REGION I
PANGASINAN DIVISION II Annex G
I have the honor to submit the Status of Personnel who were transferred to other AGENCIES as of JANUARY 2023.
ITEM NUMBER NEW

STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME POSITION TITLE Eff. Date of
SCHOOL/DISTRICT/STA Implementation Date of Month of Last STATUS/REMARKS REASON FOR NON-
OLD NEW Stoppage Payment STOPPAGE
TION
NONE
TOTAL
REPUBLIC OF THE PHILIPPINES Annex G-1
REGION I
I have the honor to submit the List of Personnel who were transferred to OTHER AGENCIES for the month of JANUARY 2023
ITEM NUMBER NEW

Eff. Date of
STATION DISTRICT SCHOOL EMP NO. FIRST NAME MIDDLE NAME LAST NAME POSITION TITLE SCHOOL/DISTRICT/S
OLD NEW Implementation
TATION
NONE
TOTAL

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REPUBLIC OF THE PHILIPPINES Annex I

Date (Mo/Day/Year) Highest Monthly Salary TERMINAL LEAVE

Date (Mo/Day/Year) Highest Monthly Salary TERMINAL LEAVE

Date of Month of Last

No. of Leave Credits

With Pay Without Pay VL SL

Rate Per No. of

Rate Per No. of Date of LDDAP Amount Reason for Non-

Rate Per No. of

Name of Incumbent Salary Per Month DV LDDAP-ADA AMOUNT PAID

POSITION Name of Incumbent Eff. Date of Salary Per Month

Name of Incumbent Basic First Day of

Name of Incumbent Basic First Day of DV LDDAP-ADA AMOUNT PAID

ITEM NUMBER NEW

ITEM NUMBER PREVIOUS SCHOOL PRESENT SCHOOL

STATION DISTRICT SCHOOL ITEM NUMBER POSITION TITLE SALARY GRADE/STEP

ITEM NUMBER NEW

ITEM NUMBER NEW

ITEM NUMBER NEW

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