R ep ub lic o f the Philippines

^Department of Education
R e g io n V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

DIVISION MEMORANDUM No. 05 s. 2021

ED \
To: Assistant Schools Division Superintendent
Chiefs, SGOD and CID
Public Schools District Supervisors
Principals/School Heads
Unit Heads
All Teaching & Non-Teaching Personnel

FROM: LOIDAiN. NIDEA, CESO V

Schools Division Superintendent

SUBJECT: Submission of SALN for CY 2020

DATE: January 7, 2021

In compliance with the provision of RA 6713, please be advised to submit the SALN
of all teachers and employees of your respective district/schools for CY 2020 on or before
February 28, 2021.

Said report must be submitted with transmittal, together with its soft copy and the
same must be in Excel format and Alpha list following the attached sample format. Likewise,
you are also to submit the electronic copies of the SALN, in PDF format and individually
saved per declarant, in compact discs (CD) as required for submission to the office of the
ombudsman.

This is also in compliance with the yearly submission of the Performance Based Bonus
(PBB) Report.

Your prompt compliance on this matter is earnestly desired.

fc. A ddress : Freedom Sport C om plex, San Jose, Pili, C am arines Sur
© Em ail : dep ed .cam . siir@ d c p e d .g o v .p h
' W ebsite: w w w .d e n e d c n m su r.c o m
T elep h on e N o.: (telefax) 8713340
 HRep SALN Form (2019)
Per Houso Resolution No. 176
(Adopted from tho 2015 C S C SA LN Form)

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH (SALN)

As o f 31 Decem ber 2 0 1 9
(R equired by R.A. 6713 nnd House Resolution No. 176)

" 0 te : " 2 ^ Wf Wh° ^ pubUc ojjiciala/employees may file their SALN jointly or separately. The declarant who is single, widowed,
or annulled or married to a private person shall tick o ff the box marked below as “Not Applicable".

□ Joint Filing □ Separate filing □ Not Applicable

DECLARANT: POSITION:
(Fam ily Name) (First Name) (M.l.) UNIT:
ADDRESS: OFFICE:
OFFICE ADDRESS:
SPOUSE: POSITION:
(Fam ily Name) (First Name) (M.I.) OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN >181 YEARS OF AGE LIVING IN THE DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE

ASSETS. LIABILITIES AND NETWORTH

(Properties owned by the abovenamed unmarried children and exclusive properties of the declarant’s spouse, in case of
separate filing, must be declared in the Separate Sheet/s)
1. ASSETS
a. R eal P rop erties1

DESCRIPTION KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

(e.g. Lol, House and
Lot, Condom inium
(e.g. Residential,
Commercial, Industrial,
LOCATION VALUE MARKET VALUE COST
a n d Improvement) Agricultural a nd Mixed
Use)
As found in the Latest
Tax Declaration
As found in the Latest
BIR Zonal Value
YEAR MODE

Total Value of Real Properties (Including those declared in the Additional Sheet, if any):

b. P ersonal Properties2
DESCRIPTION ACQUISITION ACQUISITION
COST/AMOUNT
YEAR MODE

Total Value of Personal Properties (Including those declared In the Additional Sheet, if any):

T otal A ssets (a + b):

1 A d d itio n a l S h e c t/s m a y be u se d , i f n e c e s s a ry . In c a se o f jo in t filin g , th e list s h o u ld in c lu d e th e e x c lu s iv e p ro p e rtie s o f th e sp o u se.

1 A d d itio n a l S h e e t/s m a y be u se d , i f n e c e s s a ry . In c a se o f jo in t filin g , th e list s h o u ld in c lu d e th e e x c lu s iv e p ro p e rtie s o f th o sp o u se.
Page 1 o f ___
 O ltpidtic. af, tfie Philippines

^Department of Education
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

CERTIFICATION

1 __________ ________________ <_hereby certify that the SALNs herewith

subm itted electronically are faithful reproductions o f the original SALNs o f the
officials and em ployees o f the ___________________________ , as listed in the
attached sum m ary report o f t h e ____________________________________________ .

Signature
Printed Name
Position
Date

SUBSCRIBED AND SWORN T O before me t h i s _____ day o f _____________ ,

20___ affiant exhibiting his/her competent evidence of identity, to wit

ADMINISTERING OFFICER

Address: Freedom Sports Complex, San Jose, Pili, Cam arines Sur
Email: deped.cam sur@ deped.gov.ph
W ebsite: ww w .depedcam sur.com
Telephone No: (telefax) 8713340
SAMPLE 2 (Secondary)
FONT: (Arlal N arrow )

Repu blic of th e Philippines

D e partm en t o f Education
Region v
D ivision o f Cam arines Sur
DALU PAO N NATIONAL HIGH SCHOOL
Dalupaon, Pasacao, Cam arines Sur

EM PLO YEES STATEM EN T OF ASSETS, LIABILITIES AND NET WORTH (SALN) YEAR 2019

FILE N A M E DO C U M EN T SCHOOL
1 ANDALIS, ROSALYN SALVI E. pdf D alupaon NH S/Pasacao
SALN OF ANDALIS, ROSALYN SALVI E.
2 ARGARIN, CATHERINE L. pd f SALN OF ARGARIN, CATHERINE L. D alupaon NHS/Pasacao
3 AZANES, NINO JA M IN B. pdf SALN OF AZANES, NINO JAM IN B. Dalupaon NHS/Pasacao
4 BELAGUIN, M AD ELYN 1. pd f SALN OF BELAGUIN, MADELYN 1. Dalupaon NHS/Pasacao
S BELGICA, RAFAEL B. pd f SALN OF BELGICA, RAFAEL B. Dalupaon NHS/Pasacao
6 BERGANTIN, R A M O N V. Ill pdf. SALN OF BERGANTIN, RAM O N V. Ill Dalupaon NHS/Pasacao
7 CATE, RHEA L pdf SALN OF CATE, RH EAL. Dalupaon NHS/Pasacao
8 CIELO, DEBBIE JOY C. pd f SALN OF CIELO, DEBBIE JOY C. Dalupaon NHS/Pasacao
9 CONDE, FRANCIA D. pdf SALN OF CONDE, FRANCIA D. Dalupaon NHS/Pasacao
10 CUADRANTE, M A R Y GRACE S. pd f SALN OF CUADRANTE M ARY GRACE S. Dalupaon NHS/Pasacao
11 FRANCISCO, RH ODO RRA N. pd f SALN OF FRANCISCO, RHODORRA N. Dalupaon NHS/Pasacao
12 IBARBIA, AM IE G AY A. pd f SALN OF IBARBIA, AM IE GAY A. Dalupaon NHS/Pasacao
13 IBABIA, CINDY S. pd f SALN OF IBARBIA, CINDY S. Dalupaon NHS/Pasacao
14 LAN G CAU O N , CISSEUN B. pd f SALN OF LANGCAUON, CISSEUN B. Dalupaon NHS/Pasacao
15 M A TO N D O , ALLYN F. p d f SALN OF MATO NDO , ALLYN F. Dalupaon NHS/Pasacao

16 MISOLAS, MARGIE S. pd f SALN OF MISOLAS, MARGIE S. Dalupaon NHS/Pasacao

17 N ARRA, BUTCH LORENZ C. pd f SALN OF NARRA, BUTCH LORENZ C. Dalupaon NHS/Pasacao

18 NOLLAN, EUZABETH M . pd f SALN OF NOLLAN, EUZABETH M . Dalupaon NHS/Pasacao

19 OLIVEROS, ALEGRIA B. pd f SALN OF OLIVEROS, ALEGRIA B. Dalupaon NHS/Pasacao

20 ORDINARIO, M ELANIE M . pd f SALN OF ORDINARIO, MELANIE M. Dalupaon NHS/Pasacao

21 PATORITO, A N G ELA P. pd f SALN OF PATORITO, ANGELA P. Dalupaon NHS/Pasacao

22 PRADES, JEANETTE C. pd f SALN OF PRADES, JEANETTE C Dalupaon NHS/Pasacao

23 Q U IO M , M AR IA GRACIA C. p d f SALN OF QUIO M , MARIA GRACIA C. Dalupaon NHS/Pasacao

24 RABEJE, DIONNE O. p d f SALN OF RABEJE, DIONNE 0. Dalupaon NHS/Pasacao

25 SIBULO, MELANIE B. Pdf SALN OF SIBULO, MELANIE B. Dalupaon NHS/Pasacao

26 STO. TO M AS, RICKY S L Pdf SALN OF STO. TO M A S RICKY S L Dalupaon NHS/Pasacao

27 TORDILLA, EDWIN B. pd f SALN OF TORDILLA, EDWIN B Dalupaon NHS/Pasacao

VALENZUELA, N O R M A BREGIDA A. pdf. SALN OF VALENZUELA, N O RM A BREGIDA A. Dalupaon NHS/Pasacao
28

29 VILLAFLOR, RO SAU N D A E. pd f SALN OF VILLAFLOR, ROSALINDA E. Dalupaon NHS/Pasacao

30 VILLAREAL, ANTONETTE N. pd f SALN OF VILLAREAL, ANTONETTE N. Dalupaon NHS/Pasacao

Prepared by:

CINDY S. IBARBIA
A d m in istra tiv e A ssistan t II N oted by:

DIONNE O. RABEJE
School Head
SAM PLE I (L lo m o n ta ry )

13)
rO N T (A rl.il N a rro w ) ,<* *« «,v

•
Republic of (he Philippines
Department of Education
Division of Camarines Sur
BATO D IS TR IC T

EMPLOYEES STATEMENT OF ASSETS, LIABILITIES AND NET WORTH (SALN) YEAR 2019

FILE NAME DOCUMENT Sch DISTRICT

- M \BELLAN0. FRANCIA IN 1IA Ddf SALN OF ABELLANO, FRANCIA INTIA 1 aaoolo Elementary SchVBato
? 5BTTCAL, CATHERINb 1 lIM A fflm ia !------------------------------ oALN (J|- ABINAL, CATHERINE LUMABAD U r A T D A T A H FI rn rH T A B /Q rli 1
3 \BLAN, JULIA GINA DAMOT pdf Jeiqhborhood Elem.Sch. / Bato
SALN OF ABLAN. JULIA GINA DAMOT
4 ABONITA, MARGIE BELLEZA pdl SALN OF ABONITA, MARGIE BELLEZA Uipolo Elementary Sch / Bato
'■) VCON MAY ZUNIGA.odt SALN OF ACON, MAY ZUNIGA >alvadon Elementary Sch .BATO
6 \DIOVA, MA SIMONETTE OSEA odl iato South Central Sch / Bato
SALN OF ADIOVA. MA SIMONETTE OSEA
7 iSNAS.FEVITALYN ESPINOSA ndf )ato North Central Sch / Bato
SALNOFAGNAS FEVITALYN ESPINOSA
8 AGUILA, JENALYN INTIA pdf SALN OF AGUILA, JENALYN INTIA ialvacion Elementary Sch BATO
9 AGUILAR, GINA ADRALES ndf SALN OF AGUILAR. GINA ADRALES obona Elementary Sch, / Bato
W ALhbLOR, JINA-LUZ ZAVlUulO pdf SAIN OPALFELOFf,'JINA-LUZZAMUDIO.pdf iato district
11 ALGURA. JENELYN MONEDERO pdf SALN OF ALGURA. JENELYN MONEDERO iacolod Elementary Sch. / Bato
Vi ALMAZAN MELANIE OJAS pdf SALN OF ALMAZAN. MELANIE OJAS dasoli Elementary Sch/Bato
13 APONDAR. ROSA SERDAN pdf SALN OF APONDAR. ROSA SERDAN >an Vicent Elementary SchVBato
14 AQUINO. DIVINA CORALOE pdl SALN OF AQUINO. DIVINA CORALDE ;aTtos Naido Elem, Sch/ Bato
15 ARANES. MERIAM CALLEJA pdl SALN OF ARANES.MERIAM CALLEJA >aqrada Elementary Sch / Bato
16 ARBO. MARIA JAZZLE TIGUE pdf SALN OF ARBO. MARIA JAZZLE TIGUE ■tenqqa Elementary Sch, / Bato
17 AREVALO, ANTONINA MORILLO pdf SALN OF AREVALO, ANTONINA MORILLO >an Roque Elem. Sch7Bato
1 8 ARGARIN .JUVY TABAGAN ndf SALN OF ARGARIN JUVY TABAGAN iato North Central Sch, / Bato
1? ARGARIN MA SHARMANE DOCTOLERO pdf SALN OF ARGARIN, MA. SHARMANE DOCTOLERO San Vicenl Elementary Sch./Bato
20 AWA, ANDREA SABAS.pdf SALN OF AWA, ANDREA SABAS obonq Elementary Sch. / Bato
2 1 AWA.ROCHELLETANAY.pdf SALN OF AWA, ROCHELLE TANAY iato South Central Sch. / Bato
2 2 AZUL GEMMA DOCTOLERO.pdf SALN OF AZUL.GEMMA DOCTOLERO jaqrada Elementary Sch / Bato
23 BABAGAY ANALY SALVADORA.pdf SALN OF BABAGAY, ANALY SALVADORA iato South Central Sch / Bato
24 BABAGAY, JIJI LANUZGA.pdf SALN OF BABAGAY, JIJI LANUZGA iato North Central Sch / Bato
25 BADIOLA, RUBILYN SUMAUNOG.pdf SALN OF BADIOLA, RUBILYN SUMALINOG Jalvadon Elementary Sch BATO
26 BAGACINA, MARISSA PUGAY.pdf SALN OF BAGACINA, MARISSA PUGAY iato North Central Sch. / Bato
27 BAGACINA. SWEETZEL FAITH PUGAY.pdf SALN OF BAGACINA, SWEETZEL FAITH PUGAY iato South Central Sch. / Bato
28 BAGASALA, RAYMUND BALANG.pdf SALN OF BAGASALA, RAYMUND BALANG itengga Elementary Sch. / Bato
29 BAGAYAUA, MARIA SHIELA SAMAR pdf SALN OF BAGAYAUA, MARIA SHIELA SAMAR ’ AGATPATAN ELEMENTARY Sch. / BATO
30 BAGAYAUA, RIA SHANINE SAMAR.pdf SALN OF BAGAYAUA, RIA SHANINE SAMAR iuluanq Elementary SchVBato
31 BALLESTER, OFELIA MOTA pdf. SALN OF BALLESTER, OFELIA MOTA lagpolo Elementary SchJBato
32 BALUIS, MARIA CELESTE LLAGAS.pdf SALN OF BALUIS, MARIA CELESTE LLAGAS \gos Elementary Sch /Bato
33 BANADERA, ROSITA SANCHEZ pdf SALN OF BANADERA, ROSITA SANCHEZ 3AGATPATAN ELEMENTARY Sch. / BATO
34 BANARES, JENNILYN LAUT.pdf SALN OF BANARES, JENNILYN LAUT Bato North Central Sch. / Bato
35 BARBOSA. MARIEL ELPEDES^df SALN OF BARBOSA, MARIEL ELPEDES Neighborhood Elem.Sch. 1Bato
36 BARIA, JULIET TANAY pdf. SALN OF BARIA, JULIET TANAY San Miguel Elementary Sch./ Bato
37 BARRA. MARY ANNE LAYNES.pdf SALN OF BARRA, MARY ANNE LAYNES Masoli Elementary SchJBato
38 BASMAYOR, MYRA MORON pdf SALN OF BASMAYOR, MYRA MORON Atipolo Elementary Sch / Bato
39 BATALLA. SHERYL BARRAMEDA.pdf SALN OF BATALLA, SHERYL BARRAMEDA Buluang Elementary SchVBato
40 BELLEZA, MERCEDES TUYAY.pdf SALN OF BELLEZA, MERCEDES TUYAY 3ato South Central Sch. / Bato
41 BELLO, MEL ZAGADA.pdf SALN OF BELLO, MEL ZAGADA Bato South Central Sch. / Bato
42 BELORO, JERALIN ESCAPE pdf SALN OF BELORO, JERALIN ESCAPE Atipolo Elementary Sch / Bato
43 BELZA, NEMIE ORTEGA.pdf SALN OF BELZA, NEMIE ORTEGA pdf Atipolo Elementary Sch / Bato
44 BERNALDEZ, ARMIE ACIDO pdf SALN OF BERNALDEZ, ARMIE ACIDO PAGATPATAN ELEMENTARY Sch. / BATO
45 BERNALDEZ. LOVELLA TALAGTAG pdf SALN OF BERNALDEZ, LOVELLA TALAGTAG San Roque Elem. SchTBato
46 BILLONES, MARIFE TIMADO.pdf SALN OF BILLONES, MARIFE TIMADO Bato South Central Sch. / Bato
47 BILLONES, MARILOU BAGASALA .pdf SALN OF BILLONES, MARILOU BAGASALA Bato South Central Sch / Bato
48 BOAC, BABY GARIPLAN.pdf SALN OF BOAC, BABY GARIPLAN San Vioent Elementary SchVBato
49 BOLO, LORNA CARABALLO.pdf SALN OF BOLO, LORNA CARABALLO NINO JESUS ELEMENTARY Sch /BATO
50 BONCOLMO, JAYPEE BORAGAY.pdf SALN OF BONCOLMO, JAYPEE BORAGAY Palo Elementary Sch/Bato
51 BONCOLMO, JENNIE TALISAY.pdf SALN OF BONCOLMO, JAYPEE San Vicent Elementary SchVBato
52 BONDAD, MARIA TERESA AYEN.pdf SALN OF BONDAD, MARIA TERESA AYEN Bato South Central Sch. / Bato
53 BONGCAYAO.MICHELLE FUENTIVEROS pdf SALN OF BONGCAYAO.MICHELLE FUENTIVEROS Sagrada Elementary Sch / Bato
54 BORIGAS, KRIS FLORES.pdf SALN OF BORIGAS, ENECIAS JR. DELOS SANTOS Masoli Elementary Sch /Bato
55 BORROMEO.TERESITA OLIVEROS.pdf SALN OF BORROMEO.TERESITA OLIVEROS Sagrada Elementary Sch / Bato
56 BRAGA, MARISSA MARTIREZ.pdf SALN OF BRAGA, MARISSA MARTIREZ Bato North Central Sch. 1Bato
57 BROGADA, CELESTE SAPNAY.pdf SALN OF BROGADA, CELESTE SAPNAY Bato South Central Sch. / Bato
58 BUCAD, NIKKI GRACE INTIA pdf SALN OF BUCAD, NIKKI GRACE INTIA Salvation Elementary Sch BATO
59 BUENA, CRISTINE BATACAN pdf SALN OF BUENA, CRISTINE BATACAN Dr HeradeoA Guballa Elementary SchVBato
60 BUENA, MA REGINA BATALLER.pdf SALN OFBUENA, MA REGINA BATALLER Atipolo Elementary Sch 1Bato
61 BUENA, MARGARITA TANAY pdf SALN OF BUENA, MARGARITA TANAY San Miguel Elementary Sch./ Bato
62 BUENA, MERIAM OSEA pdf SALN OF BUENA, MERIAM OSEA San Roque Elem SchVBato