REPUBLIC OF THE PHILIPPINES

Department of Labor and Employment

REGIONAL OFFICE NO. 02
Public Employment Service Office
AGLIPAY, QUIRINO
SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS
(RA 7323, as amended by RAs 9547 and 10917)

SPES TERMINAL / PAYROLL REPORT

Name of Employer: LGU AGLIPAY

Address: SAN LEONARDO, AGLIPAY, QUIRINO

Name of SPES Beneficiary EMPLOYMENT PERIOD

Ref. WAGE RATE PER NO. OF DAYS
NATURE OF WORK
No. DAY (100%) EMPLOYED
Last Name First Name M.I. START END

Prepared by: CERTIFIED Supporting documents complete and proper

and Cash available in the amount of P___________

NORBERT B. SEVILLA ________________________________

PESO MANAGER Accountant Name and Signature
Date: ____________ Date: ____________

Approved payment:

____________________________________
Employer/ LCE/ Authorized Representative
Date: ____________
EPUBLIC OF THE PHILIPPINES SPES Form 6-A
tment of Labor and Employment Issue No. 02
EGIONAL OFFICE NO. 02 Revision No. 01
Date effective: September 01, 2022
lic Employment Service Office
AGLIPAY, QUIRINO
AM FOR EMPLOYMENT OF STUDENTS
23, as amended by RAs 9547 and 10917)

ERMINAL / PAYROLL REPORT

Total No. of Vacancies: 82

Contact Person: ______________________
Contact Number: _____________________
Date Prepared: _______________________

AMOUNT PAID FOR WAGES

TOTAL AMOUNT TO
BE EARNED BY SPES SIGNATURE
COMPANY SHARE DOLE SHARE BENEFICIARY

I certify on my official oath that I have PAID each SPES

beneficiary whose name appears on the above payroll the
amount set opposite his name having presented his/her valid ID

________________________________
Cashier Name & Signature
Date: ____________
 REPUBLIC OF THE PHILIPPINES
Department of Labor and Employment
REGIONAL OFFICE NO. 02
Public Employment Service Office
_________________________________________________
SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS
(RA 7323, as amended by RAs 9547 and 10917)

SPES TERMINAL / PAYROLL REPORT

Name of Employer:________________________
Address: ________________________________

Name of SPES Beneficiary EMPLOYMENT PERIOD

Ref. WAGE RATE PERAPPLICATION
NO. OF DAYS FORM00000000000000
NATURE OF WORK
No. DAY (100%) EMPLOYED
Last Name First Name M.I START END

Prepared by: CERTIFIED Supporting documents complete and proper

and Cash available in the amount of P___________

NORBERT B. SEVILLA ________________________________

PESO MANAGER Accountant Name and Signature
Date: ____________ Date: ____________

Witnessed by:

JERRY T.
___________________ MUNICIP
DOLE Staff Employer/ LCE/ Auth
Date: ____________ Date: ____________
PUBLIC OF THE PHILIPPINES SPES Form 6-A
ment of Labor and Employment Issue No. 02
GIONAL OFFICE NO. 02 Revision No. 01
Date effective: ___________
c Employment Service Office
_____________________________________
M FOR EMPLOYMENT OF STUDENTS
3, as amended by RAs 9547 and 10917)

RMINAL / PAYROLL REPORT

Total No. of Vacancies: ________________

Contact Person: ______________________
Contact Number: _____________________
Date Prepared: _______________________

AMOUNT PAID FOR WAGES

TOTAL AMOUNT TO
TION FORM00000000000000
BE EARNED BY SPES SIGNATURE
COMPANY SHARE DOLE SHARE BENEFICIARY

I certify on my official oath that I have PAID each SPES

beneficiary whose name appears on the above payroll the
amount set opposite his name having presented his/her valid ID

________________________________
Cashier Name & Signature
Date: ____________

Approved payment:

JERRY T. AGSALDA
MUNICIPAL MAYOR
Employer/ LCE/ Authorized Representative
Date: ____________