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    Request For Bonding And/Or Cancellation of Bond of Accountable Officials and Employees of The Republic of The Philippines

    Uploaded by

    Jaypee Bucatcat
    This document is a request form for bonding and/or cancelling bonds of accountable officials in the Philippines. It provides details for Jaypee Lamo Bucatcat who is requesting a bond as the new SK Chairperson of Hilongos, Leyte starting July 1, 2018 with a maximum accountability of ₱347,611.80 in public funds. It also includes sections for personal records, bond recommendations, and required approvals.

    Copyright:

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

    Request For Bonding And/Or Cancellation of Bond of Accountable Officials and Employees of The Republic of The Philippines

    Uploaded by

    Jaypee Bucatcat
    37 views7 pages
    This document is a request form for bonding and/or cancelling bonds of accountable officials in the Philippines. It provides details for Jaypee Lamo Bucatcat who is requesting a bond as the new SK Chairperson of Hilongos, Leyte starting July 1, 2018 with a maximum accountability of ₱347,611.80 in public funds. It also includes sections for personal records, bond recommendations, and required approvals.

    Original Title

    Form-57A

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    This document is a request form for bonding and/or cancelling bonds of accountable officials in the Philippines. It provides details for Jaypee Lamo Bucatcat who is requesting a bond as the new SK Chairperson of Hilongos, Leyte starting July 1, 2018 with a maximum accountability of ₱347,611.80 in public funds. It also includes sections for personal records, bond recommendations, and required approvals.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    37 views7 pages

    Request For Bonding And/Or Cancellation of Bond of Accountable Officials and Employees of The Republic of The Philippines

    Uploaded by

    Jaypee Bucatcat
    This document is a request form for bonding and/or cancelling bonds of accountable officials in the Philippines. It provides details for Jaypee Lamo Bucatcat who is requesting a bond as the new SK Chairperson of Hilongos, Leyte starting July 1, 2018 with a maximum accountability of ₱347,611.80 in public funds. It also includes sections for personal records, bond recommendations, and required approvals.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 7

    Republic of the Philippines GENERAL FORM NO.

    57(A)
    (Revised March 24, 1976)
    (Bureau or Office)

    Leyte Risk Number

    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
    BUCATCAT JAYPEE LAMO
    Surname Given Middle
    3. DATE OF INCOMING OFFICER ASSUMES ACCOUNTABILITY SK CHAIRPERSON
    2018 JULY 1
    Year Month Day
    4. STATION
    HILONGOS LEYTE
    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 ₱ 347,611.80 duties should be given above.
    (2) As Disbursing Officer ₱ (Use additional sheet if necessary)

    b) Public Property 6. SALARY ATTACHED TO THE POSITION


    (1) Supplies and Materials ₱
    (2) Equipment ₱ ₱
    (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 ₱ ₱ FIDELITY BOND
    (5) Science Stamps ₱
    (6) Cash Tickets ₱ 8. BOND FIXED BY LAW OR BY THE CHAIRMAN
    (7) Others ₱ COMMISSION ON AUDIT

    Total Amount: ₱ 347,611.80 ₱

    PERSONAL RECORD OF PERSON TO BE BONDED


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

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


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

    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

    Year Month Day


    16. REMARKS

    }
    Head of Agency or Office
    City Mayor ALBERT R. VILLAHERMOSA
    Provincial Treasurer MUNICIPAL MAYOR
    GENERAL FORM NO. 57(A)
    (Revised March 24, 1976)
    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)
    Republic of the Philippines GENERAL FORM NO. 57(A)
    (Revised March 24, 1976)
    (Bureau or Office)
    Leyte Risk Number

    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
    ZARATE RHE ANN MALBAS
    Surname Given Middle
    3. DATE OF INCOMING OFFICER ASSUMES ACCOUNTABILITY SK CHAIRPERSON
    2019 AUGUST 14
    Year Month Day
    4. STATION
    HILONGOS LEYTE
    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 ₱ 347,611.80 duties should be given above.
    (2) As Disbursing Officer ₱ (Use additional sheet if necessary)

    b) Public Property 6. SALARY ATTACHED TO THE POSITION


    (1) Supplies and Materials ₱
    (2) Equipment ₱ ₱
    (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 ₱ ₱ FIDELITY BOND
    (5) Science Stamps ₱
    (6) Cash Tickets ₱ 8. BOND FIXED BY LAW OR BY THE CHAIRMAN
    (7) Others ₱ COMMISSION ON AUDIT

    Total Amount: ₱ 347,611.80 ₱

    PERSONAL RECORD OF PERSON TO BE BONDED


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

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


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

    Year Month Day


    16. REMARKS

    }
    Head of Agency or Office
    City Mayor ALBERT R. VILLAHERMOSA
    Provincial Treasurer MUNICIPAL MAYOR
    RAL FORM NO. 57(A)
    sed March 24, 1976)

    sk Number
    ILLAHERMOSA
    AL MAYOR

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