Salary Integration Form

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Charles Vergel Sabaldan Marcera

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Salary Integration Form

Uploaded by

Charles Vergel Sabaldan Marcera

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Republic of the Philippines

Department of Education
REGION IX
SCHOOLS DIVISION OF ZAMBOANGA DEL NORTE

SALARY INTEGRATION FORM

FIRST NAME ___________________________________________________

MIDDLE NAME ___________________________________________________
LAST NAME ___________________________________________________
APPEX (IF THERE IS ANY) ___________________________________________________
STATION CODE/ASSIGNMENT ___________________________________________________
BIRTHDATE ___________________________________________________
PAG-IBIG MID NO. ___________________________________________________
GSIS BP NO. ___________________________________________________
PHILHEALTH NO. ___________________________________________________
TIN NO. ___________________________________________________
ATM. ACCT NO. ___________________________________________________
ITEM NO. ___________________________________________________
CIVIL STATUS ___________________________________________________

TAX CODE: MARRIED 1 DEPENDENT

2 DEPENDENT

3 DEPENDENT
04 DEPENDENT

Address: Capitol Drive, Estaka, Dipolog City 7100 Tel. No.: (065) 212- 5843
Email: [email protected] Website: www.depedzn.net
FB: DepEd Tayo- Schools Division of Zamboanga del Norte

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