STATEMENT OF ASSETS, LIABILITIES AND NETWORTH FOR CY 2016

Region: X
Name of Agency: Department of Education
Name of Office: Malaubang Integrated School - Secondary
Address: Malaubang, Ozamiz City
Total No. of Employee: 13

Name If spouse is with government service

(In Alphabetical Order) Middle Name Position PLEASE INDICATE

NAME OF SPOUSE/ EMPLOYER/ ADDRESS
Surname First Name
Agohob Alma Rea Ba-oy SST - 1
Binas Jose Brix Alfanta SST - 1 Glenn D.
Binas/DepEd/Tinago,
Ozamiz City
Boter Jonna Ayuste SST - 1 Noel G. Boter/DOJ/
Calabayan, Ozamiz City
Bustamante Lysther Calunod SST - 1
Cal Lenive Onganiza SST - 1
Garcia Don Virgilio, Jr Dino SST - 1
Jumawan Jocelyn Villanueva SST - 1
Lacre Glorylyn Andrade SST - 1
Narvaez Irish Magpale SST - 1
Saligan Rodolfo, R. Rosal SST - 1
Saquin Estelita Caliao SSHT - 1
Semense Leziel Cajote SST - 1 Fermen T. Semense/DepEd/
Calabayan
Tagal Vanessa Garay SST - 1
NOTE: Kindly submit one original and one duplicate copy or typewritten or legibly hand printed SALN properly filled-up and in the prescribed form.

CERTIFIED CORRECT BY: NOTED BY:

CLARINDA FE L. SIMBLANTE REBONFAMIL R. BAGUIO

Principal Agency Head
SUMMARY REPORT FORM NO. 2
Statement of Assets, Liabilities and Networth
As of December 31, 2016

Office: Malaubang Integrated School Address: Malaubang, Ozamiz City

NAME
(In Alphabetical Order) Specific Date No. of years in
MI Present Position Annual Income when first Government ASSETS LIABILITIES
Family Name First Name assumed in Office Service

Agohob Alma Rea B. SST - 1 228,924.00 May 9, 2013 3 57,000.00 36,000.00

Binas Jose Brix A. SST - 1 228,924.00 Sept. 1, 2012 4 199,500.00 392,658.85
Boter Jonna A. SST - 1 228,924.00 Aug. 1, 2016 5 months 95,000.00 0.00
Bustamante Lysther C. SST - 1 228,924.00 Mar. 3, 2014 2 12,000.00 58,500.00
Cal Lenive O. SST - 1 228,924.00 Sept. 23, 2013 3 60,000.00 160,600.00
Garcia Don Virgilio, Jr D. SST - 1 228,924.00 May 9, 2014 2 12,999.00 219,000.00
Jumawan Jocelyn V. SST - 1 228,924.00 Aug. 15, 2012 4 111,400.00 101,200.00
Lacre Glorylyn A. SST - 1 228,924.00 Jun. 14, 2011 5 29,000.00 180,000.00
Narvaez Irish M. SST - 1 228,924.00 May 15, 2013 3 29,000.00 500,000.00
Saligan Rodolfo, R. R. SST - 1 228,924.00 May 9, 2014 2 9,799.00 48,800.00
Saquin Estelita C. SSHT - 1 303,480.00 Jun. 6, 2011 5 29,000.00 180,000.00
Semense Leziel C. SST - 1 228,924.00 Jun. 19, 2013 3 124,000.00 510,000.00
Tagal Vanessa G. SST - 1 228,924.00 Sept. 14, 2015 1 108,499.00 0.00

CERTIFIED CORRECT BY: NOTED BY:

CLARINDA FE L. SIMBLANTE REBONFAMIL R. BAGUIO

Principal Agency Head
 Republic of the Philippines
Department of Education
Region X-Northern Mindanao
Division of Ozamiz City
KINUMAN NORTE NATIONAL HIGH SCHOOL
Kinuman Norte, Ozamiz City

CERTIFICATION

This is to certify that the following officials/ employees of this office have FAILED to submit their
Statement of Assets, Liabilities and Networth and Disclosure of Business Interest and Financial
Connections for the Year ____ as required under Section 8 of Republic Act No. 6713 as implemented
by Memorandum Circular issued by the Office of the Ombudsman as of June 21, 1995.

Name of Official/ Employee Designation/ Position Remarks

(In Alphabetical Order)

This Certification is being issued for whatever legal purpose it may serve.

_______________________
Place and Date of Issuance

_________________________
Administrative/ Personnel Head

SUBSCRIBED AND SWORN to before me this ______________ day of ________________

20____ at _________________________.