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NOSA Form and Summary

This document contains a template for reporting personnel salaries and adjustments. It includes sections for listing employee names, positions, salary grades, actual and adjusted monthly salaries, and salary differentials. The form requires certification by district supervisors and approval by the schools division superintendent. It is used to comply with reporting requirements under the national budget circular.

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Arlan
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526 views3 pages

NOSA Form and Summary

This document contains a template for reporting personnel salaries and adjustments. It includes sections for listing employee names, positions, salary grades, actual and adjusted monthly salaries, and salary differentials. The form requires certification by district supervisors and approval by the schools division superintendent. It is used to comply with reporting requirements under the national budget circular.

Uploaded by

Arlan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Plantilla of Personnel and Salary Adjustment Page 1 of _____

As Required Under Item 8.2 of National Budget Circular No. ______ dated January ____________.

Department/Agency:
District/ School

Item No./Unique Item No.


FY 2017 Salary Differential
Personal Services Itemization and/or Actual Monthly Basic Adjusted Monthly Adjustment Date of
Plantilla of Position Salary Salary Salary as of Dec. 31, Basic Salary Effective Effective Jan. 1, Tax Identification Original Date of Last
Personnel Title Grade Step 2017 Jan. 1, 2018 2018 NAME OF INCUMBENT Date of Birth Number Appointment Promotion
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

Prepared by: Certified Correct: Approved:

District Supervisor/School Head Administartive Officer IV Schools Division Superintendent

DISTRICT SUPERVISOR FOR ELEMENTARY


SCHOOL HEAD FOR SECONDARY
_____

Status of
Appointment
(13)
NOTICE OF SALARY ADJUSTMENT

Date:

Pursuant to National Budget Circular No. ______ dated ___________________, implementing Executive
Order No. 201, s. 2016, your salary is hereby adjusted effective January 1,_______, as follows:

1. Adjustment monthly basic salary effective __________________, under the


new Salary Schedule; SG Step Php

2. Actual monthly basic salary as of ____________________;


SG Step

3. Monthly salary adjustment effective _________________ (1 - 2) Php

It is understood that this salary adjustment is subject to review and post-audit, and
to appropriate re-adjustment and refund if found not in order.

Very truly yours,

Schools Division Superintendent

Position Title:
Salary Grade:
ItemNo./Unique Item No., FY Personal Services Itemization
and/or Plantilla of Personnel:

Copy Furnished: GSIS

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