Republic of the Philippines

Department of Education
Region V
DIVISION OF MASBATE
Rodeo Road, Masbate City

CONTRACT OF SERVICES
KIND OF REQUEST : ________________________________________________
NAME : ________________________________________________
ASSIGNED TO : ________________________________________________
CHARGED TO : ________________________________________________

DESCRIPTION OF WORK

To be assigned in _______________________________________________________.

DATE STARTED : ________________________________________________

DATE FINISHED : ________________________________________________
Funds Available: (Payment to be made by this Office)
Prepared by:

MA. DOROTHY L. DANIEL RONELITO A. BASAS

CID-Chief/OIC-HRMO Administrative Officer V (Budget)

Recommending Approval:

ROSELLER S. DELA PISA JOSE L. DONCILLO, CESO VI

Administrative Officer V (Administration) Schools Division Superintendent

CONTRACT OF SERVICES

This Contract for Service is entered into by and between the DepEd, Division Office of Masbate,
represented by JOSE L. DONCILLO, CESO VI Schools Division Superintendent and
___________________________ of legal age and a resident of _________________________________.

W I T N E S S E T H:

1. That _____________________ agrees to devote his/her technical know how, experience and
skills to the agency and other related work thereto at the rate of ________________________
(Php ________________) of actual services.
2. That it does not entitle him/her to payment of PERA/COLA, RATA and other benefits being
enjoyed by government employees.
3. Payment herein provided shall be subject to the usual accounting and auditing rules and
regulations.
4. That this contract shall take effect on _____________ and ceases to be in force and in effect
upon the determination and notice by the agency of unsatisfactory performance of work or
for such other causes authorized by law but not beyond _________________.
5. That I am not related within the 3rd degree of consanguinity and/or affinity with the
appointing authority of the hiring agency.

Received and held myself bound by the terms, conditions and stipulations of this contract
and other applicable rules and laws.

________________________ ________________________
Requested Worker Date