Attachment 2

AGENCY NAME:__Sangguniang Kabataan Brgy. Hamorawon___________________

ADDRESS: __Brgy. Hamorawon Calbayoig City , Samar _________________________

LIST OF BONDED ACCOUNTABLE PUBLIC OFFICERS

TYPE OF
APPLICATION PREVIOUS YEAR'S
(Check (P) the
AMOUNT PREFERRED
DATA REMARKS
appropriate column) BOND
DESIGNATION / (WITH/WITHOUT
NAME OF PUBLIC OFFICER COVERAGE
POSITION PENDING ADM. AND
EFFECTIVITY (1,2, or 3
RISK CRIM. CASE
DATE YEARS)
NEW RENEWA L NO. ACCOUNTA BILITY BOND PREMIUM
FROM TO
(f or renewal)
Without pending ADM
Marvin T. Sales Sk Chairperson
and CRIM. Case
Lalaine A. Aniscal Sk Treasurer Without pending ADM
and CRIM. Case

Prepared by: Certif ied and Approved by:

Lalaine A. Aniscal Marvin T. Sales

Signature over printed name Name & Designation of Authorized Of f icial