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    Application For Retirement

    Uploaded by

    erosh
    gsis form

    Copyright:

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

    Application For Retirement

    Uploaded by

    erosh
    82 views1 page
    gsis form

    Original Title

    application for retirement

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    © © All Rights Reserved

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    PDF or read online from Scribd

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    gsis form

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    82 views1 page

    Application For Retirement

    Uploaded by

    erosh
    gsis form

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    of 1
    NAME OF RETIREE: MODE OF RETIREMENT: OUTING BLIP APPLICATION FOR RETIREMENT DIVISION: ‘0: The Director IV DepEd-NCR 0 ‘Through the Superintendent y Madam: This fs to submit the following documents re: my application for retirement: Wo. oF Wo. of | No.of Cps. DOCUMENT TYPE Cp. | cps. DOCUMENT TYPE Rea. Reg. | Reg. |, RA. RA | RA 201 e201_| 1616 4 6 _ |1. Completed application form ~ 4 [6 Clearance fr. Mun./City Treasurer also dated as of last day of service 7 7 2. Clearance from DO. dated as of - “4 |®. Affidavit of No Pending Case under st day of service RA3019 5 7 3. Latest Service Record with > 4 [70. Fiscar's Clearance - place of certification of LAWOP residence and assignment 5 7 __[4. Service Record from previous = 7 |11. NOSA under R.A. 4670 employer indicating last day of service and LAWOP (if applicable) 1 6 _[5. Latest Assets and Liabilities | - 1_ [12 Copy of fast payroll 1 6 [6. Certification from D.O. of No ‘ 1 |13. Copies of appointments service Pending Administrative and cards of accreditation of services Criminal Charge rendered on non-permanent appoint - ment: and first regular appointment 7 6 |7. Ombudsman Clearance 4. For DEATH CLAIM 2 7 |14a. Marriage Contract (if applicable) 2 7 |14b. Death Certificate . . 2 6 |14c. Birth Certificate of Children L. (it_ applicable) Very truly yours, : : RETIREE/CLAIMANT CERTIFIED AS TO COMPLETENESS: NOTED: \ . ELENA M. SANTOS Human Resource Mgt. Officer it Date: _ [FOR RA tee RECEIVED: DepEd-NGR Personnel Unit Date: RECEIVED THE ABOVE DOCUMENTS. JAS CHECKED: DapEd-NER Budget and Accounting Personnel DATE: REMARKS PLEASE DO NOT DETACH, THIS WILL BE PART OF THE DOCUMENTS.

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