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Republic of The Philippines Department of Education Region Iv-A Calabarzon Pagbilao, Quezon

This document appears to be a form containing information about employees of the Department of Education in Region IV-A, Division of Quezon, Philippines. It includes fields for employee name, position, signature, and number. There are multiple entries that seem to be filling out this form with information about teachers, principals, and other staff at Concepcion Elementary School in Plaridel District. The form is signed by the Schools Division Superintendent, certifying the information provided.

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Nerriel Bala
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Download as XLSX, PDF, TXT or read online on Scribd
171 views10 pages

Republic of The Philippines Department of Education Region Iv-A Calabarzon Pagbilao, Quezon

This document appears to be a form containing information about employees of the Department of Education in Region IV-A, Division of Quezon, Philippines. It includes fields for employee name, position, signature, and number. There are multiple entries that seem to be filling out this form with information about teachers, principals, and other staff at Concepcion Elementary School in Plaridel District. The form is signed by the Schools Division Superintendent, certifying the information provided.

Uploaded by

Nerriel Bala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF QUEZON
Pagbilao, Quezon

District

School

Name

Position

Employee Signature
Number
Employee Number

School

Name

Position

Signature

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
DIVISION OF QUEZON
Pagbilao, Quezon
District

School

Name

Position

Employee Number Signature

District

Date of Birth:
Blood Type: Civil Status:
Address:
Tel. No.:
GSIS ID No.:
T.I.N.:
Next of Kin:
Addtess:

School
MERTHEL M. EVARDOME, CESO VI
Schools Division Superintendent
Name

Position

Signature

es
on
ON
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
NERRIEL P. BALA NERRIEL P. BALA
Name Name
MASTER TEACHER II MASTER TEACHER II
Position Position
4177404 4177404
Employee Signature Employee Signature
Number Number

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
NERRIEL P. BALA NERRIEL P. BALA
Name Name
MASTER TEACHER II MASTER TEACHER II
Position Position
4177404 4177404
Employee Signature Employee Signature
Number Number

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
NERRIEL P. BALA NERRIEL P. BALA
Name Name
MASTER TEACHER II MASTER TEACHER II
Position Position
4177404 4177404
Employee Signature Employee Signature
Number Number

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
NERRIEL P. BALA NERRIEL P. BALA
Name Name
MASTER TEACHER II MASTER TEACHER II
Position Position
4177404 4177404
Employee Signature Employee Signature
Number Number
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School
EDITHA M. AREVADA ROWENA J. VIRAY
Name Name
TEACHER I TEACHER I
Position Position
4129672 4138279
Employee Signature Employee Signature
Number Number

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
MARITES N. LEGASPI THELMA B. GRIMALDO
Name Name
Principal I TEACHER I
Position Position
4419700 4428557
Employee Signature Employee Signature
Number Number
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School
MARIETA R. ALVA BEATRIZ D. PATIÑO
Name Name
TEACHER I TEACHER III
Position Position
4138280 4425515
Employee Signature Employee Signature
Number Number

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
MAYETH S. PANOPIO MA. FE G. VARGAS
Name Name
TEACHER I MASTER TEACHER I
Position Position
6376891 4420683
Employee Signature Employee Signature
Number Number

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
DIVISION OF QUEZON
Pagbilao, Quezon
PLARIDEL
District
Concepcion Elementary School
School
NERRIEL P. BALA
Name
MASTER TEACHER II
Position
4177404
Employee Signature
Number
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region IV-A CALABARZON Region IV-A CALABARZON
DIVISION OF QUEZON DIVISION OF QUEZON
Pagbilao, Quezon Pagbilao, Quezon

PLARIDEL PLARIDEL
District District
Concepcion Elementary School Concepcion Elementary School
School School
EDITHA M. AREVADA RHODORA V. DELVO
Name Name
TEACHER I TEACHER III
Position Position
4129672 4427040
Employee Signature Employee Signature
Number Number
NAME
EMPLOYEE NUMBER
DATE OF BIRTH
BLOOD TYPE
CIVIL STATUS
ADDRESS
CP NUMBER
GSIS ID NO
TIN
NEXT OF KIN
ADDRESS OF NEXT OF KIN

NAME
EMPLOYEE NUMBER
DATE OF BIRTH
BLOOD TYPE
CIVIL STATUS
ADDRESS
CP NUMBER
GSIS ID NO
TIN
NEXT OF KIN
ADDRESS OF NEXT OF KIN

NAME
EMPLOYEE NUMBER
DATE OF BIRTH
BLOOD TYPE
CIVIL STATUS
ADDRESS
CP NUMBER
GSIS ID NO
TIN
NEXT OF KIN
ADDRESS OF NEXT OF KIN

NAME
EMPLOYEE NUMBER
DATE OF BIRTH
BLOOD TYPE
CIVIL STATUS
ADDRESS
CP NUMBER
GSIS ID NO
TIN
NEXT OF KIN
ADDRESS OF NEXT OF KIN
February 10, 1971
Date of Birth: Date of Birth: May 15, 1972
Blood Type: A Civil Status: Married Blood Type: A Civil Status: Married
Address: 296 Brgy. Concepcion, Plaridel, Quezon Address: Zone I, United Vill. Brgy. Tagbakin, Atimonan, Quezon
Tel. No.: 09994514736 Tel. No.: 09185919055
GSIS ID No.: 006-0111-0515-0 GSIS ID No.: 006-0127-0260-9
T.I.N.: 169-074-916 T.I.N.: 186-634-102
Next of Kin: Maricel R. Bala Next of Kin: Frederick B. Delvo, Jr.
Addtess: 296 Brgy. Concepcion, Plaridel, Quezon Addtess: Zone I, United Vill. Brgy. Tagbakin, Atimonan, Quezon

MERTHEL M. EVARDOME, CESO VI MERTHEL M. EVARDOME, CESO


Schools Division Superintendent VISchools Division Superintendent
January 22, 1962
Date of Birth: April 22, 1979
Date of Birth:
Blood Type: B Civil Status: Married Blood Type: O Civil Status: Married
Address: D. Arcaya St., Gumaca, Quezon Address: Brgy. Concepcion, Plaridel, Quezon
Tel. No.: 09287442279 Tel. No.: 09299751343
GSIS ID No.: 006-0111-0855-5 GSIS ID No.: 2003079142
T.I.N.: 192-196-974 T.I.N.: 920-579-428
Next of Kin: Rosmini S. Arevada Next of Kin: Jonas Carlo J. Viray
Addtess: D. Arcaya St., Gumaca, Quezon Addtess: Brgy. Concepcion, Plaridel, Quezon

MERTHEL M. EVARDOME, CESO VI MERTHEL M. EVARDOME, CESO


Schools Division Superintendent VISchools Division Superintendent

January 10, 1968


Date of Birth: Date of Birth: June 16, 1971
Blood Type: O Civil Status: Married Blood Type: AB Civil Status: Widow
Brgy. Zone IV, Bagumbayan, Atimonan,
Address: 1956 L. Guinto Blvd. Atimonan, Quezon Address:
Quezon
Tel. No.: 09328456186 Tel. No.: 09477605908/09054608734
GSIS ID No.: 2003067827 GSIS ID No.: 006-0062-5053-1
T.I.N.: 149-562-059 T.I.N.: 186-634-099
Next of Kin: Leonardo R. Legaspi Next of Kin: Teofilo R. Balagat, Jr.
Brgy. Zone IV, Bagumbayan, Atimonan,
Addtess: 1956 L. Guinto Blvd. Atimonan, Quezon Addtess: Quezon

MERTHEL M. EVARDOME, CESO VI MERTHEL M. EVARDOME, CESO


Schools Division Superintendent VISchools Division Superintendent
Date of Birth: October 10, 1967 Date of Birth: july 29, 1964
Blood Type: O Civil Status: Married Blood Type: O Civil Status: Married
Address: Brgy. Concepcion, Plaridel, Quezon Address: Brgy. Kulawit, Atimonan, Quezon
Tel. No.: 09273438803 Tel. No.: 09301985028
GSIS ID No.: 006-0095-1986-8 GSIS ID No.: 006-0095-0307-8
T.I.N.: 920-579-443 T.I.N.: 192-935-358
Next of Kin: Miguel C. Alva Next of Kin: Jorge V. Patiño, Jr.
Addtess: Brgy. Concepcion, Plaridel, Quezon Addtess: Brgy. Kulawit, Atimonan, Quezon

MERTHEL M. EVARDOME, CESO VI MERTHEL M. EVARDOME, CESO


Schools Division Superintendent VISchools Division Superintendent

Date of Birth: May 2, 1989 February 20, 1971


Date of Birth:
Blood Type: O Civil Status: Married Blood Type: AB Civil Status: Widow
Address: Brgy. Pampaaralan, Plaridel, Quezon Address: Brgy. Tanauan, Plaridel, Quezon
Tel. No.: 09078530227 Tel. No.: 09478810874/09396035777
GSIS ID No.: 2005394346 GSIS ID No.: 2003045943
T.I.N.: 721-081-039 T.I.N.: 174-081-586
Next of Kin: Rosauro E. Panopio Next of Kin: Ma. Luisa G. Altomea
Addtess: Brgy. Pampaaralan, Plaridel, Quezon Addtess: Unisan, Quezon

MERTHEL M. EVARDOME, CESO VI MERTHEL M. EVARDOME, CESO


Schools Division Superintendent VISchools Division Superintendent

February 10, 1971


Date of Birth:
Blood Type: A Civil Status: Married
Address: 296 Brgy. Concepcion, Plaridel, Quezon
Tel. No.: 09994514736
GSIS ID No.: 2003045804
T.I.N.: 169-074-916
Next of Kin: Maricel R. Bala
Addtess: 296 Brgy. Concepcion, Plaridel, Quezon

MERTHEL M. EVARDOME, CESO VI


Schools Division Superintendent

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