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    Form 57A

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    msefe sorongon
    This document is a request form for bonding or cancelling the bond of an accountable official in the Department of Education in Iloilo City, Philippines. Specifically, it is requesting to bond Betsy Mediavilla for the position of Administrative Assistant II, with a maximum accountability of 5 million pesos over public funds. It provides her personal details, the bond amount recommended of 1.5 million pesos, and documents her replacing another official whose bond is being cancelled upon transfer.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Form 57A

    Uploaded by

    msefe sorongon
    1K views3 pages
    This document is a request form for bonding or cancelling the bond of an accountable official in the Department of Education in Iloilo City, Philippines. Specifically, it is requesting to bond Betsy Mediavilla for the position of Administrative Assistant II, with a maximum accountability of 5 million pesos over public funds. It provides her personal details, the bond amount recommended of 1.5 million pesos, and documents her replacing another official whose bond is being cancelled upon transfer.

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    Form-57A.xlsx

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    This document is a request form for bonding or cancelling the bond of an accountable official in the Department of Education in Iloilo City, Philippines. Specifically, it is requesting to bond Betsy Mediavilla for the position of Administrative Assistant II, with a maximum accountability of 5 million pesos over public funds. It provides her personal details, the bond amount recommended of 1.5 million pesos, and documents her replacing another official whose bond is being cancelled upon transfer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    1K views3 pages

    Form 57A

    Uploaded by

    msefe sorongon
    This document is a request form for bonding or cancelling the bond of an accountable official in the Department of Education in Iloilo City, Philippines. Specifically, it is requesting to bond Betsy Mediavilla for the position of Administrative Assistant II, with a maximum accountability of 5 million pesos over public funds. It provides her personal details, the bond amount recommended of 1.5 million pesos, and documents her replacing another official whose bond is being cancelled upon transfer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 3

    Republic of the Philippines GENERAL FORM NO.

    57(A)
    (Revised March 24, 1976)
    DepEd., Schools Division of Iloilo
    Risk Number
    La Paz, Iloilo City

    REQUEST FOR BONDING AND/OR CANCELLATION OF BOND OF


    ACCOUNTABLE OFFICIALS AND EMPLOYEES OF THE
    REPUBLIC OF THE PHILIPPINES
    1. NAME OF PERSON TO BE BONDED/WHOSE BOND IS TO BE CANCELLED 2. DESIGNATION OR TITLE OF POSITION
    BRACA BETSY MEDIAVILLA
    Surname Given Middle Administrative Assistant II
    3. DATE OF INCOMING OFFICER ASSUMES ACCOUNTABILITY
    2018 APRIL 02
    Year Month Day
    4. STATION
    DepEd., Schools Division of Iloilo, Iloilo City
    Municipality Province/City
    5. AMOUNT OF MAXIMUM ACCOUNTABILITY/CUSTODY
    ₱
    When extent or character of an Officer's control
    Amount over funds or property cannot be inferred from the title
    a) Public Funds or designation given, a full and complete statement of
    (1) As Collecting Officer ₱ duties should be given above.
    (2) As Disbursing Officer ₱ 5,000,000.00 (Use additional sheet if necessary)

    b) Public Property 6. SALARY ATTACHED TO THE POSITION


    (1) Supplies and Materials ₱
    (2) Equipment ₱ ₱ 16,282.00 /month
    (3) Others ₱
    (In case of temporary appointment or designation,
    c) Forms and Other Valuables salary of permanent and temporary incumbent should
    (1) Internal Rev. Stamps ₱ be stated)
    (2) Internal Rev. Doc. Stamps ₱ 7. BOND RECOMENDED
    (3) Customs Doc. Stamps ₱
    (4) Postage and Other Stamped Stock ₱ ₱ 1,500,000.00
    (5) Science Stamps ₱
    (6) Cash Tickets ₱ 8. BOND FIXED BY LAW OR BY THE CHAIRMAN
    (7) Others ₱ COMMISSION ON AUDIT

    Total Amount: ₱ 5,000,000.00 ₱ 1,500,000.00

    PERSONAL RECORD OF PERSON TO BE BONDED


    (Use additional or separate sheet if necessary)
    9. (A) PREVIOUS EXPERIENCE (B) CRIMINAL OR ADMINISTRATIVE RECORD

    (THIS BLOCKED TO BE FILLED ONLY IN CASE OF BOND CANCELLATION)


    10. NAME OF OFFICER TO BE RELIEVED 11. PRESENT TITLE OR DESIGNATION

    GOLILAO MARITESS UNARCE


    Surname Given Middle
    12. AMOUNT OF BOND AND RISK NUMBER INFORCE 13. SALARY OF PERSON TO BE RELIEVED

    14. DATE OF RELIEF 15. CAUSE OF RELIEF

    2018 APRIL 02 TRANSFER


    Year Month Day
    16. REMARKS

    }
    Head of Agency or Office
    City Mayor FELISA B. BERIONG, CESO VI
    Provincial Treasurer OIC-Asst. Schools Division Superintendent
    GENERAL FORM NO. 57(A) FIRST INDORSEMENT
    (Revised March 24, 1976) ,20

    Respectfully forwarded, through the Bureau, Provincial or City Auditor,


    REQUEST
    for
    BONDING AND/OR CANCELLATION OF BOND OF
    ACCOUNTABLE OFFICIALS AND EMPLOYEES OF THE To the Treasurer of the Philippines, Manila, recommending approval of the
    REPUBLIC OF THE PHILIPPINES bond proposed in item 7 of the within request.

    }
    Head of Agency or Office
    (NAME) City Mayor
    Provincial Treasurer (designation)

    (DESIGNATION)
    SECOND INDORSEMENT

    (BUREAU, PROVINCE OR CITY) ,20_____

    Respectfully Forwarded to the Treasurer of the Philippines, Manila


    . (DATE TO BE EFFECTIVE)

    Bond for the within mentioned position is approved and fixed in the
    amount of P ______________________

    Cancellation of the bond of M


    (Brief to be filled in by the Treasurer of the Philippines in the amount of P __________________
    under Risk No. ___________________is hereby noted.

    By Authority of the
    CHAIRMAN, COMMISSION ON AUDIT

    (Bureau, City, Provincial, Agency,


    Corporate Auditor)

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