DepED El Salvador-Attachment A for SALNs as of December 31, 2017

DEPARTMENT OF EDUCATION - DIVISION OF EL SALVADOR CITY

Summary List of Filers
Statement of Assets, Liabilities and Networth
Calendar Year 2018 (As of December 31, 2017)

If spouse is with government service, PLEASE

Please check (√) if
No. TIN POSITION NET WORTH INDICATE NAME OF
Joint Filing
NAME OF EMPLOYEE (in ALPHABETICAL Order by Last Name) SPOUSE/EMPLOYER/ADDRESS
Lastname Firstname Middlename
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total Number of Filers: _______
Total Number of Personnel Complement: ________

Prepared by: Noted by:

Person In-charge of SALN Head of Station

Position: Position:
Email Address: Mailing Address:
Contact No.:
Contact No.:

Date : Date :

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