Name: _____________________________________

Claim for Initial Salary and Allowances - ___________________

Supporting docs for initial salary claim

3 set certified copies of the following:
1 Certified true copy of duly approved appointment
2 Assignment Order
3 Oath of office
4 Certificate of assumption
5 Statement of Assets, Liabilities and Net Worth
6 Daily Time Record
7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
8 Payroll Information for New Employees
9 HDMF Member’s Data Form
10 Philhealth Member Registration Form
11 BIR Form 2316 from previous employer, if employed with other employer during the year
12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency

b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
12 Er2 (PHIC)
13 Epayroll reference format for new employees
14 Form A or B. For Agency Remittance Advice (GSIS)

Name: _____________________________________
Claim for Initial Salary and Allowances - ___________________

Supporting docs for initial salary claim

3 set certified copies of the following:
1 Certified true copy of duly approved appointment
2 Assignment Order
3 Oath of office
4 Certificate of assumption
5 Statement of Assets, Liabilities and Net Worth
6 Daily Time Record
7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
8 Payroll Information for New Employees
9 HDMF Member’s Data Form
10 Philhealth Member Registration Form
11 BIR Form 2316 from previous employer, if employed with other employer during the year
12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency

b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
12 Er2 (PHIC)
13 Epayroll reference format for new employees
14 Form A or B. For Agency Remittance Advice (GSIS)
Name: CYRENE BERNAL LANDERO
Claim for Initial Salary and Allowances - AUGUST 10-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: CYRENE BERNAL LANDERO

Claim for Initial Salary and Allowances - AUGUST 10-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: GUINDO, JOHAYVEER SOLAIMAN
Claim for Initial Salary and Allowances - AUGUST 1-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: GUINDO, JOHAYVEER SOLAIMAN

Claim for Initial Salary and Allowances - AUGUST 1-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: MARK JOSEPH ORDOÑA BAÑAGA
Claim for Initial Salary and Allowances - AUGUST 9-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: MARK JOSEPH ORDOÑA BAÑAGA

Claim for Initial Salary and Allowances - AUGUST 9-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: ROSAL RAGONTON SALES
Claim for Initial Salary and Allowances - AUGUST 10-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: ROSAL RAGONTON SALES

Claim for Initial Salary and Allowances - AUGUST 10-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: ALLAIZA MAE ZAFRA ADJALAINE
Claim for Initial Salary and Allowances - AUGUST 29-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: ALLAIZA MAE ZAFRA ADJALAINE

Claim for Initial Salary and Allowances - AUGUST 29-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: JENELYN SULOG GORNEZ
Claim for Initial Salary and Allowances - AUGUST 16-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
a 15 Copy of Marriage Certificate

Name: JENELYN SULOG GORNEZ

Claim for Initial Salary and Allowances - AUGUST 16-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
a 15 Copy of Marriage Certificate
Name: HARLEY DENVER NAHILAT JAYA
Claim for Initial Salary and Allowances - AUGUST 29-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: HARLEY DENVER NAHILAT JAYA

Claim for Initial Salary and Allowances - AUGUST 29-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: CYRENE BERNAL LANDERO
Claim for Initial Salary and Allowances - AUGUST 10-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: CYRENE BERNAL LANDERO

Claim for Initial Salary and Allowances - AUGUST 10-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
N/A 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy ofprevious
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: MARIA THERESA T. BORJA
Claim for Initial Salary and Allowances - OCTOBER 23-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:
a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)

Name: MARIA THERESA T. BORJA

Claim for Initial Salary and Allowances - OCTOBER 23-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy of previous
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: RUPHA MAE RAMOS PEÑERO
Claim for Initial Salary and Allowances - OCTOBER 18-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:
a a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
a last salary received from previous agency duly verified by assigned auditor thereat
a c. Certificate of available leave credits
a d. Service record

Additional Docs
a 13 Er2 (PHIC)
a 14 Epayroll reference format for new employees
a 15 Form B. For Agency Remittance Advice (GSIS)

Name: MARIA THERESA T. BORJA

Claim for Initial Salary and Allowances - OCTOBER 23-31, 2023

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
a 11 BIR Form 2316 from previous employer, if employed with other employer during the year
N/A 12 Additional requirements for those whose previous employer is a government agency:

a. Clearances
b. from
Certified copy of previous
DV of lastagency
salary from previous agency and/or Certification from Accountant of
last salary received from previous agency duly verified by assigned auditor thereat
c. Certificate of available leave credits
d. Service record

Additional Docs
a 12 Er2 (PHIC)
a 13 Epayroll reference format for new employees
a 14 Form A or B. For Agency Remittance Advice (GSIS)
Name: MAY ANN SANTOS MAMAK
Claim for Initial Salary and Allowances - JANUARY 2 - 31, 2024

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:
a a. Clearances from previous agency
b. Certified copy of DV of last salary from previous agency and/or Certification from Accountant of
a last salary received from previous agency duly verified by assigned auditor thereat
a c. Certificate of available leave credits
a d. Service record

Additional Docs
a 13 Er2 (PHIC)
a 14 Epayroll reference format for new employees
a 15 Form B. For Agency Remittance Advice (GSIS)

Name: MAY ANN SANTOS MAMAK

Claim for Initial Salary and Allowances - JANUARY 2 - 31, 2024

Supporting docs for initial salary claim

2 set certified copies of the following:
a 1 Certified true copy of duly approved appointment
a 2 Assignment Order
a 3 Oath of office
a 4 Certificate of assumption
a 5 Statement of Assets, Liabilities and Net Worth
a 6 Daily Time Record
a 7 BIR Form Nos. 1902 (if without TIN yet), 1905 (signed received by BIR) and 2305
RMO No. 37-2019 dtd 5/20/2019 re: Amending Policies/Guidelines/Procedures on the Registration of Employees Part
II Item 7. Transfer of RDO of new employees to its residence's RDO instead of employer's RDO.
a 8 Payroll Information for New Employees
a 9 HDMF Member’s Data Form
a 10 Philhealth Member Registration Form
11 BIR Form 2316 from previous employer, if employed with other employer during the year
a 12 Additional requirements for those whose previous employer is a government agency:

a a. Clearances
b. from
Certified copy of previous
DV of lastagency
salary from previous agency and/or Certification from Accountant of
a last salary received from previous agency duly verified by assigned auditor thereat
a c. Certificate of available leave credits
a d. Service record

Additional Docs
a 13 Er2 (PHIC)
a 14 Epayroll reference format for new employees
a 15 Form B. For Agency Remittance Advice (GSIS)