601ST INFANTRY BRIGADE, 6TH INFANTRY (K) DIVISION, PA

Unit/Office
SWORN STATEMENT OF ASSETS AND LIABILITIES AND NET WORTH

DISCLOSURE OF BUSINESS INTERESTS AND FINANCIAL CONNECTIONS AND

IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE
As of 31 December 2003
(Required by R.A. No. 6713)

Gamboa Emeterio Mendoza MSg 641636 (Inf) PA

Name (Surname/First Name/M.I.) (Rank/Serial No./Br of Svc)
Date of Birth 03 March 1951 Place of Birth Agoncelio, Batangas
Address: 601st Infantry Brigade, 6ID, PA, Pulatana, Malandag, Malungon, Sarangani Province
Date of Appointment/CAD/Enlistment 01 May 1978
Office Address 601st Infantry Brigade, 6ID, PA, Pulatana, Malandag, Malungon, Sarangani Province
Position/Designation DLO NCO
Spouse Name Position/Office
(Surname/First/M.I.)

Unmarried Children Below 18 Years of Age

Name Date of Birth Name of School/Occupation

Ma Lourdez M Gamboa May 31, 1981 Notre Dame College/ Graduate
Emeterio M Gamboa Jr March 18, 1987 San Lorezo Academy, Polomolok, Scot
Francis Hurvey M Gamboa February 10, 1991 Notre Dame of Polomolok, Scot/Student

A. ASSETS, LIABILITIES AND NET WORTH

1. ASSETS
a. Personal Properties:

A cq u i s i t i o n Repair/Improvement Total
NATURE Year Cost Current Prev Yr Cost
Mode
Aquired Year (Accum)
Cash and Bank Deposit 1995-2002 6,550.00 6,550.00
Jewelries and Books stallment/cash 1994-1998 15,000.00 2,000.00 17,000.00
Fur, Fixture & Appliances stallment/cash 1992-2001 45,000.00 45,000.00

Total = = = P68,550.00

B. REAL PROPERTIES

NATURE/LOC Mode of Acqtn Year Acquired Acquisition Repair/Improvement Total Cost Assessed
Current Prev Yrs
Cost Year (Accum) Value
Home Lot 1988 1995 P29,000.00 P29,000.00
Res House 1991-2002 40,000.00 100,000.00 650,000.00 790,000.00
Car 2001 -2002 30,000.00 20,000.00 20,000.00 70,000.00 70,000.00

Total = = = P790,000.00

TOTAL ASSETS (Personal and Real) = = = = = = = = = = = P858,550.00

2. LIABILITIES

CREDITORS NATURE Year Principal AMORTIZATION BALANCE

Incured Amount
AFPSLAI SL 2001-2004 185,000.00 5,985.00
AMWSLAI SL 2001-2004 90,900.00 2,011.49
MBAI SL 2001-2002 13,000.00 939.56.00 Fully Paid

TOTAL P275,000.00

NETWORTH: Total Assets (1a & 1b) Less Total Liabilities (2) - P583,550.00

3. My family income composed of salary, allowances, bonus, dividends, sale/rental of property,

inheritance, financial aids , donations, etc, including those of my spouse and children below 18 years during the
calendar year this statement is filed are as follows:

COMPOSITION NATURE SOURCE AMOUNT

Base Pay , Allws AFP/DND 152,860.00

TOTAL INCOME P= 152,860.00

4. The income tax I paid during the preceding calendar year to include income tax withheld for the current
calendar year for which this statement is amounted to P= 4,470.86

5. My/our personal/family expenses composed of food, clothing, schooling medical, entertainment, insurance,
interest paid on loans, and other accounts payable amounted to P= 152,860.00

B. BUSINESS INTEREST AND FINANCIAL CONNECTIONS:

My business interest and financial connections including those of my spouse and unmarried
children below 18 years of age living in my household are the following:

NAME ADDRESS Nature of Business

NAME OF FIRM Date of Acquisition /
interest and/or Finacial
connection
connection

N/A N/A N/A N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE:

My relatives within the fourth degree of consanguinity or affinity who are working in the government are as
follows:

NAME POSITION RELATIONSHIP Name/address of office

N/A N/A N/A N/A

I am making this statement in compliance with R. A. 6713. I am (Check appropriate statement).

a. A new member/employee of the AFP.

\\\ b. Already a member/employee of the AFP.
c. Leaving the service.
 I hereby certify to the best of my knowledge and information, that these are true statement of my assets,
liabilities, networth, business interest and financial connections, including those of my spouse and unmarried
children below 18 years of age and name of relatives in the government as of December 31, 2002 as required by
and in accordance with Republic Act 6713.

I hereby authorized the Ombudsman or his duly authorized representative to obtain and secure from all
appropriate government agencies, including the Bureau of Internal Revenue, such documents that may show my
assets, liabilities, networth, business interest and financial connections, to include those of my spouse and
unmarried children below 18 years of age living in my household covering previous years to include the
year I first assumed office in the government.

Date: 25 March 2003

(Signature)

Community Cert. No. 09170254

Issued at Polomolok, South Cotabato
Date Issued February 29, 2003
TIN: 914-739-389

SUBSCRIBE AND SWORN to before me this 12th day of March 2003 affiant exhibiting to me his Community
Tax Certificate as indicated above.

CAPTAIN NEDY C ESPULGAR (INF) PA

(Person Administering Oath)
 601st Infantry Brigade, 6th Infantry (Kampilan) Division, PA
Unit/Office
SWORN STATEMENT OF ASSETS AND LIABILITIES AND NET WORTH

DISCLOSURE OF BUSINESS INTERESTS AND FINANCIAL CONNECTIONS AND

IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE
As of 31 December 2001
(Required by R.A. No. 6713)

MACARAIG FERMIN DELA ROSA MAJOR 0-11 (FS) PA

NAME (Surname/First Name/M.I.) (Rank/Serial No./Br of Svc)
Date of Birth Place of Birth
Date of Appointment/CAD/Enlistment 01 October 1984
Office Address 601st Infantry Brigade, 6ID, PA, Pulatana, Malandag, Malungon, Sarangani Province
Position/Designation Admin NCO
Spouse Name Position/Office Pera, Juliana Carmelita Marasigan
(Surname/First/M.I.)

Unmarried Children Below 18 Years of Age

Name Date of Bir Name of School/Occupation

Concepcion P Eroa December 8, 1984 Noter Dame College/Student
Jonathan P Eroa May 15, 1987 Holy Trinity College/Student
Joeffrey P Eroa November 16, 2000

A. ASSETS, LIABILITIES AND NET WORTH

1. ASSETS
a. Personal Properties:

A cq u i s i t i o n Repair/Improvement Total
NATURE Year Aquired Cost Current Prev Yr Cost
Mode
Year (Accum)

Total P=

B. REAL PROPERTIES

NATURE/LOC Mode of Acqtn Year Acquisition Repair/Improvement Total Cost Assessed

Acquire Current Prev Yrs
d Cost Year (Accum) Value

Total P=

Total Assests P=
2. LIABILITIES

CREDITORS NATURE Year Incured Principal AMORTIZATION BALANCE

Amount
MBAI 2 Years P=19,000.
AFPSLAI Salary Loan 3 Years P=120,000

TOTAL

NETWORTH: Total Assets (1a & 1b) Less Total Liabilities (2) - - - - - P= ________________.

3. My family income composed of salary, allowances, bonus, dividends, sale/rental of

property, inheritance, financial aids , donations, etc, including those of my spouse and children below 18
years during the calendar year this statement is filed are as follows:

COMPOSITION NATURE SOURCE AMOUNT

TOTAL INCOME P=

4. The income tax I paid during the preceding calendar year to include income tax withheld for the
current calendar year for which this statement is amounted to P=____________.

5. My/our personal/family expenses composed of food, clothing, schooling medical,

entertainment, insurance, interest paid on loans , and other accounts payable amounted to P=_________.

B. BUSINESS INTEREST AND FINANCIAL CONNECTIONS:

My business interest and financial connections including those of my spouse and

unmarried children below 18 years of age living in my household are the following:

NAME NAME ADDRESS

OF Natur of Business
Date of Acquisition /
FIRM interest and/or Finacial
connection
connection

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE:

My relatives within the fourth degree of consanguinity or affinity who are working in the government
are as follows:

NAME POSITION RELATIONSHIP Name/address of office

 I am making this statement in compliance with R. A. 6713. I am (Check appropriate
statement).

a. A new member/employee of the AFP.

\\\ b. Already a member/employee of the AFP.
_________ c. Leaving the service.

I hereby certify to the best of my knowledge and information, that these are true statement of my
assets, liabilities, networth, business interest and financial connections, including those of my spouse
and unmarried children below 18 years of age and name of relatives in the government as of December
31, 2001 as required by and in accordance with Republic Act 6713.

I hereby authorized the Ombudsman or his duly authorized representative to obtain and secure
from all appropriate government agencies, including the Bureau of Internal Revenue, such documents
that may show my assets, liabilities, networth, business interest and financial connections, to include
those of my spouse and unmarried children below 18 years of age living in my
household covering previous years to include the year I first assumed office in the government.

Date________________20_____
(Signature)

Community Cert. No.________________

Issued at __________________________
Date Issued ________________________
TIN: _____________________________

SUBSCRIBE AND SWORN to before me this ______ day of ______________ 20_____ affiant
exhibiting to me his Community Tax Certificate as indicated above.

MAJ FERMIN R MACARAIG (FS) PA

(Person Administering Oath)
BALANCE
 ROUTING SLIP

SUBJECT: Request Fund Support for 3D Terrain Model Printing Project

TO FROM DATE SENDERS INITIAL ACTION ACTION REQUIRED

S3 AS6 CASPILLO OR REQUESTED
EX-O S3 TARRAYO 1. APPROVAL/SIGNATURE
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3. STAFF ACTION
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6. REPORT DUE
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12. MISROUTED
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