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University of Southern Mindanao Date Received

REQUEST FOR SPECIAL ORDER - DESIGNATION


A personnel can be designated to functions aside from his/ her plantilla position. 1 unit
load displacement should have 1 success indicator.
Nature of Designation HRMDO Use
Administrative Academic  Research Remarks on Qualifications of
Extension Production Other, Specify Personnel
Leave Status Qualified
Vacation/ Sick Leave Teacher’s Leave Non-Teaching Probation
Designation Task Registry Remarks on Tasks (Regular
Expected Output/ Success Indicators Semester
Proposed Tasks (During Regular Semester) Quantity/ Quality Efficiency Timeliness Appropriate
To monitor the implementation of the whole Revise as indicated
program

To ensure proper implementation of the Remarks on outputs during


project regular semester
Appropriate
To attain objectives of the project Revise as indicated

Remarks on outputs during


vacation periods
Appropriate
Revise as indicated
Proposed Tasks (During Vacation Periods)
Compile all reports of different project Remarks on Duration
proponent Appropriate
Revise as indicated
(Add sheets if necessary)
Recommended Designate Start Date January 1, Remarks on Load
2023 Displacement
ADEFLOR G. GARCIA End Date March Appropriate
31,2023
Proposed Duty Hours per week 12 Revise as indicated
allotted for the Designation hours/wee
(Regular Semester) k Remarks on Pecuniary
Equivalent Load Displacement Benefits
during Regular Semester Appropriate
14,600/ Revise as indicated
Proposed Pecuniary Benefits month
Remarks on Leave Status
Proposed Duty Hours per week VSL
allotted during vacation period TL
Other Proposals:
I have the honor to request for the designation with circumstances stated above.
Justifications:
My office was notified late, that Dr. Adeflor
G. Garcia will still handle the project, on the
MA. TEODORA N. CABASAN last 3 months of her service before WILLIE JONES B. SALILING
Requisitioner retirement HRMDO Director
NAME AND SIGNATURE OF REQUISITIONER DATE:

Action of the University President


Approved for SO drafting
Approved, SO issuance delegated to
HRMDO Director
FRANCISCO GIL N. GARCIA, PhD Disapproved
SUC President IV
Date: ____________

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