2022-PBB-Form-1.0-download-file Final

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INSTRUCTIONS

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SHEET 1 : Form 1.0
Please fill-out the informations:
Department/Agency: DEPARTMENT OF EDUCATION
Regional Office: REGION 7
School Division Office: SDO
Guihulngan Coty Division
Total Agency Score: 75 (DepEd Score)
Rate of the PBB (%): 48.8% (PBB Percentage)
Total Number of Authorized Positions as of December 31, 2022: Kindly refer to PSIPOP as of Dec. 31, 2022
Total Number of Filled Positions as of December 31, 2022 Kindly refer to PSIPOP as of Dec. 31, 2022
A. Total Number of Officials and Employees Entitled to Full Rate of the PBB : Kindly refer to Supplemental Report Sheet
Amount Required for Payment of the PBB (A): Kindly refer to Supplemental Report Sheet
B. Total Number of Officials and Employees Entitled to Pro-Rate of the PBB: Kindly refer to Supplemental Report Sheet
Amount Required for Payment of the PBB (B): Kindly refer to Supplemental Report Sheet
C. Total Number of Officials and Employees Disqualified from PBB: Kindly refer to Supplemental Report Sheet
Total Monthly Salary of Disqulified Personnel(C): Kindly refer to Supplemental Report Sheet
SHEET 2: SUPPLEMENTAL REPORT
Separate name of employees in three (3) categories:
A. List of Personnel Entitled to the FULL-RATE of the PBB
B. List of Personnel Entitled to the PRO-RATED share of the PBB
C. List of Personnel DISQUALIFIED from grant of the PBB
Fill out the following details:
Name of Employee: please use LAST NAME, FIRST NAME SUFFIX (if any) MIDDLE NAME Format (ex. DELA CRUZ, JUA
Salary Grade: Employee's SG in 2022
Salary Step: Employee's SG Step in 2022
Monthly Basic Salary: (Auto-compute upon entry of Salary Grade and Step)
Months in Service in FY 2022

Amount of PBB (Auto-compute upon entry of Salary Grade, Step and Months in Service)
A. Total Amount of the FULL RATE Grant of PBB:
Total Number of Personnel with FULL RATE GRANT of PBB
B. Total Amount of the PRO-RATED Share Grant of PBB:
Total Number of Personnel with PRO-RATED GRANT of PBB
Reason for PRO-RATED GRANT of PBB: Please specify reason including effective dates (if any)
C. Total Monthly Salary of Personnel DISQUALIFIED from PBB:
Total Number of Personnel DISQUALIFIED from PBB:
Reason for Disqualification from PBB Grant Please specify reason including effective dates (if any)
Additional details
For school-based
SCHOOL ID
NAME OF SCHOOL
DIVISION
For school-based
DIVISON ID
DIVISION
For regional offices
REGION NO.
REGION NAME

For any clarifications, please contact Ms. Jam Sy:


Mobile 0921-966-9975
Landline 8633-9345
Email [email protected]

Thank you.
ntal Report Sheet

tal Report Sheet

rt Sheet
. DELA CRUZ, JUAN JR DALISAY)
REPORT ON ELIGIBILITY OF AGENCY
FOR THE GRANT OF THE FY 2022
(Form 1.0)

Department/Agency:
Regional Office
School Division Office

Summary of Information Required


Total Agency Score:
Rate of the PBB (%):
Total Number of Authorized Positions as of December 31, 2022
Total Number of Filled Positions as of December 31, 2022

Particulars (as indicated in Supplemental Report)


A.
Total Number of Officials and Employees Entitled to Full Rate of the PBB
Amount Required for Payment of the PBB (A):
B.
Total Number of Officials and Employees Entitled to Pro-Rate of the PBB
Amount Required for Payment of the PBB (B):
C.
Total Number of Officials and Employees Disqualified from PBB
Total Monthly Salary of Disqulified Personnel(C):

Total Numbers of Officials and Employees Entitled to the PBB (A+B):


Total Amount Required for the payment of the PBB (A+B):

6 of FY 2021 PBB_SDO
DEPARTMENT OF EDUCATION
VII-CENTRAL VISAYAS
GUIHULNGAN CITY

75
48.8%
(please refer to your PSIPOP as of Dec. 31, 2022)
(please refer to your PSIPOP as of Dec. 31, 2022)

7 of FY 2021 PBB_SDO
PBB Rates Length of Service and Percentage of PBB Step Step Step Step Step
PBB Score PBB Rates No. of Months Percentage Salary Grade 1 2 3 4 5
100 65% of the Salary 1 Below 3 mos. 1 12517 12621 12728 12834 12941
95 61.75% of the Salary 2 Below 3 mos. 2 13305 13406 13509 13613 13718
90 58.50% of the Salary 3 40% 3 14125 14234 14343 14454 14565
85 55.25% of the Salary 4 50% 4 14993 15109 15224 15341 15459
80 52% of the Salary 5 60% 5 15909 16032 16155 16279 16404
75 48.75% of the Salary 6 70% 6 16877 17007 17137 17269 17402
70 45.50% of the Salary 7 80% 7 17899 18037 18176 18315 18455
8 90% 8 18998 19170 19343 19518 19694
9 20402 20572 20745 20918 21093
10 22190 22376 22563 22752 22942
11 25439 25723 26012 26304 26600
12 27608 27892 28180 28471 28766
13 29798 30111 30427 30747 31072
14 32321 32665 33013 33366 33722
15 35097 35475 35858 36246 36638
16 38150 38566 38987 39413 39845
17 41508 41966 42429 42898 43373
18 45203 45706 46216 46731 47254
19 49835 50574 51325 52088 52864
20 55799 56633 57482 58344 59221
21 62449 63392 64351 65325 66316
22 69963 71029 72113 73214 74333
23 78455 79659 80884 82133 83474
24 88410 89853 91320 92810 94325
25 100788 102433 104105 105804 107531
26 113891 115749 117639 119558 121510
27 128696 130797 132931 135101 137306
28 145427 147800 150213 152664 155155
29 164332 167015 169740 172511 175326
30 185695 188726 191806 194937 198118
31 273278 278615 284057 289605 295262
32 325807 332378 339080 345918 352894
33 411382 423723 x x x
Step Step Step
6 7 8
13049 13159 13268
13823 13929 14035
14676 14790 14903
15577 15698 15818
16530 16657 16784
17535 17670 17806
18598 18740 18884
19872 20052 20233
21269 21447 21626
23134 23327 23522
26901 27205 27514
29065 29367 29673
31400 31732 32069
34083 34449 34819
37035 37437 37845
40282 40725 41172
43854 44340 44833
47783 48318 48860
53652 54454 55268
60112 61017 61937
67322 68345 69385
75471 76627 77801
84836 86220 87628
95865 97430 99020
109286 111070 112883
123493 125508 127557
139547 141825 144140
157689 160262 162877
178188 181096 184052
201352 204638 207978
301028 306908 312902
360011 367272 374678
x x x
SUPPLEMENTAL REPORT
A. List of Personnel Entitled to the FULL-RATE of the PBB

NAME OF EMPLOYEE Months in Service Monthly Basic Salary


Salary Salary
No. in FY 2022 (as of December 31, Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022)
1 ALBORES, NELVI RAY, HALANG 11 3 12 26,012.00 12,680.85
2 ALIPONGA, MARBE JOY, LINDAYAO 11 1 12 25,439.00 12,401.51
3 ALQUIZALAS, KARL PATRICK, VILLARANTE 11 1 12 25,439.00 12,401.51
4 APAO, MARCIANO, BABOR 18 3 12 46,216.00 22,530.30
5 BARCELO, BEBELYN, S 18 1 12 45,203.00 22,036.46
6 CANENCIA, RUSTHY, ESTORCO 11 2 12 25,723.00 12,539.96
7 CATACUTAN, ALONA BULGADO 11 1 12 25,439.00 12,401.51
8 FUENTES, MARIEL, ZOZOBRADO 11 2 12 25,723.00 12,539.96
9 GARSULA, JOAN MAE, GAMOS 13 1 12 29,798.00 14,526.53
10 GEMPEROSO, CELMER JR., YAP 13 1 12 29,798.00 14,526.53
11 GLARIAN, HAZEL JANE, DE VERA 11 2 12 25,723.00 12,539.96
12 LARA, MATILDE, NERI 11 1 12 25,439.00 12,401.51
13 LIBOSADA, JADE SHAIRA, VILLEGAS 11 1 12 25,439.00 12,401.51
14 MATA, ANN, ALTABARINO 11 3 12 26,012.00 12,680.85
15 MATURAN, LELIT, TUBIS 11 1 12 25,439.00 12,401.51
16 RICABLANCA, LUCILA, LITRADA 13 2 12 30,111.00 14,679.11
17 RUBLICO, JACKILOU, EMPERUSO 11 1 12 25,439.00 12,401.51
18 SUPERALES, MARIA NATY, MAYOLA 11 3 12 26,012.00 12,680.85
19 VILLEGAS, LILIBETH, MORDEN 13 2 12 30,111.00 14,679.11
20 ZARFA, FAARAH LORREIN, MANABA 11 1 12 25,439.00 12,401.51
21 #N/A
22 #N/A
23 #N/A
24 #N/A
25 #N/A
26 #N/A
27 #N/A
28 #N/A
29 #N/A
30 #N/A
31 #N/A
32 #N/A
33 #N/A
34 #N/A
35 #N/A
36 #N/A
37 #N/A
38 #N/A

10 of 00-049FY 2021 PBB_SCHOOL


39 #N/A
40 #N/A
41 #N/A
42 #N/A
43 #N/A
44 #N/A
45 #N/A
46 #N/A
47 #N/A
48 #N/A
49 #N/A
50 #N/A
51 #N/A
52 #N/A
53 #N/A
54 #N/A
55 #N/A
56 #N/A
57 #N/A
58 #N/A
59 #N/A
60 #N/A
61 #N/A
62 #N/A
63 #N/A
64 #N/A
65 #N/A
66 #N/A
67 #N/A
68 #N/A
69 #N/A
70 #N/A
71 #N/A
72 #N/A
73 #N/A
74 #N/A
75 #N/A
76 #N/A
77 #N/A
78 #N/A
79 #N/A
80 #N/A

11 of 00-049FY 2021 PBB_SCHOOL


81 #N/A
82 #N/A
83 #N/A
84 #N/A
85 #N/A
86 #N/A
87 #N/A
88 #N/A
89 #N/A
90 #N/A
91 #N/A
92 #N/A
93 #N/A
94 #N/A
95 #N/A
96 #N/A
97 #N/A
98 #N/A
99 #N/A
100 #N/A
x A. Total Amount of the FULL RATE Grant of PBB: 277,852.55
100 A. Total Number of Personnel with FULL RATE GRANT of PBB 100

B. List of Personnel Entitled to the PRO-RATED share of the PBB

NAME OF EMPLOYEE Months in Service Monthly Basic Salary Reason for the Grant of pro-rated
Salary Salary
No. in FY 2022 (as of December 31, Amount of PBB PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022) (Newly hired, Retired, Resigned etc.)
1 #N/A
2 #N/A
3 #N/A
4 #N/A
5 #N/A
6 #N/A
7 #N/A
8 #N/A
9 #N/A
10 #N/A
11 #N/A
12 #N/A
13 #N/A
14
15
16

12 of 00-049FY 2021 PBB_SCHOOL


17
18
19
20
21
22 #N/A
23 #N/A
24 #N/A
25
26
27
28
29
30
31
32 #N/A
33 #N/A
34 #N/A
35 #N/A
36 #N/A
37 #N/A
38 #N/A
39 #N/A
40 #N/A
41 #N/A
42 #N/A
43 #N/A
44 #N/A
45 #N/A
x B. Total Amount of the PRO-RATED Share Grant of PBB: 0.00
45 B. Total Number of Personnel with PRO-RATED GRANT of PBB 45

C. List of Personnel DISQUALIFIED from grant of the PBB

NAME OF EMPLOYEE Months in Service Monthly Basic Salary


Salary Salary
No. in FY 2022 (as of December 31, Reason for Disqualification
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022)
1 #N/A RENDERED LESS THAN
2 #N/A THREE (3) MONTHS OF
3 #N/A SERVICE
-
1 X #N/A DID NOT SUBMIT
2 X #N/A SALN
3 X #N/A

13 of 00-049FY 2021 PBB_SCHOOL


-
1 X #N/A DID NOT LIQUIDATE
2 X #N/A CASH ADVANCE WITHIN
3 X #N/A REGLEMENTARY PERIOD
-
1 X #N/A DID NOT SUBMIT
2 X #N/A RPMS FORMS
3 X #N/A
-
1 X #N/A OTHERS
2 X #N/A (PLEASE SPECIFY)
3 X #N/A
-
x C. Total Monthly Salary of Personnel DISQUALIFIED from PBB: -
15 C. Total Number of Personnel DISQUALIFIED from PBB: 15

Prepared by: Approved by:

Signature over printed name Signature over printed name


RO PMT Secretariat Regional Director

14 of 00-049FY 2021 PBB_SCHOOL


A. List of Personnel Entitled to the FULL-RATE of the PBB
DELIVERY UNIT
NAME OF EMPLOYEE
No. SCHOOL ID NAME OF SCHOOL
(e.g., DELA CRUZ, JUAN DALISAY)
1 BOGANOTAN, GENEVIEVE DELANTES 120281 PLAGATASANON ELEMENTARY SCHOOL
2 CUEVAS, EVELYN GUTUAL 120281 PLAGATASANON ELEMENTARY SCHOOL
3 CONCEPCION, EXUPERIO JR. SARMIENTO 120281 PLAGATASANON ELEMENTARY SCHOOL
4 EROJO, FAITH MELISSA TUAZON 120281 PLAGATASANON ELEMENTARY SCHOOL
5 GIMENO, CLARE FRANCES MILMAO 120281 PLAGATASANON ELEMENTARY SCHOOL
6 LOSANOY, GLENN CALLAO 120281 PLAGATASANON ELEMENTARY SCHOOL
7 PADILLA, ANTONIETTE JEANH ORDINEZA 120281 PLAGATASANON ELEMENTARY SCHOOL
10 VILLAGONZALO, NOVE MARALE ICALINA 120281 PLAGATASANON ELEMENTARY SCHOOL
11
12
13
14
15
16
17
18
19
8
20
21
22
23
24
25
26
27
28

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29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59

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60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

17 of 00-045FY 2021 PBB_SCHOOL


91
92
93
94
95
96
97
98
100
99
9 A. Total Number of Personnel with FULL RATE GRANT of PBB
100
x A. Total Amount of the FULL RATE Grant of PBB:

B. List of Personnel Entitled to the PRO-RATED share of the PBB


DELIVERY UNIT
NAME OF EMPLOYEE
No. SCHOOL ID NAME OF SCHOOL
(e.g., DELA CRUZ, JUAN DALISAY)
1 GIMENA, LARGIE JACOSALEM 189502 BENIL-IWAN ELEMENTARY SCHOOL
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

18 of 00-045FY 2021 PBB_SCHOOL


17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
x B. Total Amount of the PRO-RATED Share Grant of PBB:
45 B. Total Number of Personnel with PRO-RATED GRANT of PBB

19 of 00-045FY 2021 PBB_SCHOOL


C. List of Personnel DISQUALIFIED from grant of the PBB
DELIVERY UNIT
NAME OF EMPLOYEE
No. SCHOOL ID NAME OF SCHOOL
(e.g., DELA CRUZ, JUAN DALISAY)
1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

x C. Total Monthly Salary of Personnel DISQUALIFIED from PBB:


15 C. Total Number of Personnel DISQUALIFIED from PBB:

Prepared by: Certified Correct by:

20 of 00-045FY 2021 PBB_SCHOOL


BANJESA S. VILLALAS FRANCISCO A. MALIGDONG
Signature over printed name Signature over printed name
School PMT Secretariat School PMT Chair

21 of 00-045FY 2021 PBB_SCHOOL


VERY UNIT
Months in Service Monthly Basic Salary
Salary Salary
DIVISION Grade Step
in FY 2022 (as of December 31, Amount of PBB
2022)
GUIHULNGAN CITY 13 1 12 29,798.00 14,526.53
GUIHULNGAN CITY 13 1 12 29,798.00 14,526.53
GUIHULNGAN CITY 15 2 12 35,475.00 17,294.06
GUIHULNGAN CITY 13 1 12 29,798.00 14,526.53
GUIHULNGAN CITY 13 1 12 29,798.00 14,526.53
GUIHULNGAN CITY 12 1 12 27,608.00 13,458.90
GUIHULNGAN CITY 11 1 12 25,439.00 12,401.51
GUIHULNGAN CITY 11 1 12 25,439.00 12,401.51
#N/A
#N/A
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#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A

22 of 00-045FY 2021 PBB_SCHOOL


#N/A
#N/A
#N/A
#N/A
#N/A
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#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A

23 of 00-045FY 2021 PBB_SCHOOL


#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
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#N/A
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#N/A
#N/A
#N/A
#N/A
#N/A

24 of 00-045FY 2021 PBB_SCHOOL


#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
100
113,662.10

VERY UNIT
Months in Service Monthly Basic Salary Reason for the Grant of pro-rated
Salary Salary
DIVISION Grade Step
in FY 2022 (as of December 31, Amount of PBB PBB
2022) (Newly hired, Retired, Resigned etc.)
GUIHULNGAN CITY 11 1 7 25,439.00 9,921.21
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A

25 of 00-045FY 2021 PBB_SCHOOL


#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
9,921.21
45

26 of 00-045FY 2021 PBB_SCHOOL


VERY UNIT
Months in Service Monthly Basic Salary
Salary Salary
DIVISION Grade Step
in FY 2022 (as of December 31, Reason for Disqualification
2022)
#N/A RENDERED LESS THAN
#N/A THREE (3) MONTHS OF
#N/A SERVICE
-
X #N/A DID NOT SUBMIT
X #N/A SALN
X #N/A
-
X #N/A DID NOT LIQUIDATE
X #N/A CASH ADVANCE WITHIN
X #N/A REGLEMENTARY PERIOD
-
X #N/A DID NOT SUBMIT
X #N/A RPMS FORMS
X #N/A
-
X #N/A OTHERS
X #N/A (PLEASE SPECIFY)
X #N/A
-
-
15

Approved by:

27 of 00-045FY 2021 PBB_SCHOOL


ORLANDO G. CADANO, EdD.
Signature over printed name
Schools Division Superintendent

28 of 00-045FY 2021 PBB_SCHOOL


SUPPLEMENTAL REPORT
A. List of Personnel Entitled to the FULL-RATE of the PBB
DELIVERY UNIT
NAME OF EMPLOYEE Months in Service Monthly Basic Salary
Salary Salary
No. DIVISON ID DIVISION in FY 2022 (as of December 31, Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022)
1 0 11 1 9 25,439.00 12,401.51
2 #N/A
3 #N/A
4 #N/A
5 #N/A
6 #N/A
7 #N/A
8 #N/A
9 #N/A
10 #N/A
11 #N/A
12 #N/A
13 #N/A
14 #N/A
15 #N/A
16 #N/A
17 #N/A
18 #N/A
19 #N/A
20 #N/A
21 #N/A
22 #N/A
23 #N/A
24 #N/A
25 #N/A
26 #N/A
27 #N/A
28 #N/A
29 #N/A
30 #N/A
31 #N/A
32 #N/A
33 #N/A
34 #N/A
35 #N/A
36 #N/A
37 #N/A
38 #N/A
39 #N/A
40 #N/A
41 #N/A
42 #N/A
43 #N/A
44 #N/A
45 #N/A
46 #N/A
47 #N/A
48 #N/A
49 #N/A
50 #N/A

29 of 00-049FY 2021 PBB_SDO


51 #N/A
52 #N/A
53 #N/A
54 #N/A
55 #N/A
56 #N/A
57 #N/A
58 #N/A
59 #N/A
60 #N/A
61 #N/A
62 #N/A
63 #N/A
64 #N/A
65 #N/A
66 #N/A
67 #N/A
68 #N/A
69 #N/A
70 #N/A
71 #N/A
72 #N/A
73 #N/A
74 #N/A
75 #N/A
76 #N/A
77 #N/A
78 #N/A
79 #N/A
80 #N/A
81 #N/A
82 #N/A
83 #N/A
84 #N/A
85 #N/A
86 #N/A
87 #N/A
88 #N/A
89 #N/A
90 #N/A
91 #N/A
92 #N/A
93 #N/A
94 #N/A
95 #N/A
96 #N/A
97 #N/A
98 #N/A
99 #N/A
100 #N/A
x A. Total Amount of the FULL RATE Grant of PBB: 12,401.51
100 A. Total Number of Personnel with FULL RATE GRANT of PBB 100

B. List of Personnel Entitled to the PRO-RATED share of the PBB

30 of 00-049FY 2021 PBB_SDO


DELIVERY UNIT
NAME OF EMPLOYEE Months in Service Monthly Basic Salary Reason for the Grant of pro-rated
Salary Salary
No. DIVISON ID DIVISION in FY 2022 (as of December 31, Amount of PBB PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022) (Newly hired, Retired, Resigned etc.)
1 #N/A
2 #N/A
3 #N/A
4 #N/A
5 #N/A
6 #N/A
7 #N/A
8 #N/A
9 #N/A
10 #N/A
11 #N/A
12 #N/A
13 #N/A
14 #N/A
15 #N/A
16 #N/A
17 #N/A
18 #N/A
19 #N/A
20
21
22
23
24
25
26
27
28
29 #N/A
30 #N/A
31
32
33
34
35
36
37
38 #N/A
39 #N/A
40 #N/A
41 #N/A
42 #N/A
43 #N/A
44 #N/A
45 #N/A
x B. Total Amount of the PRO-RATED Share Grant of PBB: 0.00
45 B. Total Number of Personnel with PRO-RATED GRANT of PBB 45

C. List of Personnel DISQUALIFIED from grant of the PBB


DELIVERY UNIT
NAME OF EMPLOYEE Months in Service Monthly Basic Salary
Salary Salary
No. DIVISON ID DIVISION in FY 2022 (as of December 31, Reason for Disqualification
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022)
1 #N/A RENDERED LESS THAN

31 of 00-049FY 2021 PBB_SDO


2 #N/A THREE (3) MONTHS OF
3 #N/A SERVICE
-
1 X #N/A DID NOT SUBMIT
2 X #N/A SALN
3 X #N/A
-
1 X #N/A DID NOT LIQUIDATE
2 X #N/A CASH ADVANCE WITHIN
3 X #N/A REGLEMENTARY PERIOD
-
1 X #N/A DID NOT SUBMIT
2 X #N/A RPMS FORMS
3 X #N/A
-
1 X #N/A OTHERS
2 X #N/A (PLEASE SPECIFY)
3 X #N/A
-
x C. Total Monthly Salary of Personnel DISQUALIFIED from PBB: -
15 C. Total Number of Personnel DISQUALIFIED from PBB: 15

Prepared by: Certified Correct by: Approved by:

Signature over printed name Signature over printed name Signature over printed name
RO PMT Secretariat RO PMT Chair Regional Director

32 of 00-049FY 2021 PBB_SDO


SUPPLEMENTAL REPORT
A. List of Personnel Entitled to the FULL-RATE of the PBB
DELIVERY UNIT
NAME OF EMPLOYEE Months in Service Monthly Basic Salary
Salary Salary
No. REGION NO. REGION in FY 2022 (as of December 31, Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2022)
1 DELA CRUZ, JUAN JR. DALISAY I ILOCOS REGION 9 1 12 20,402.00 9,945.98
2 #N/A
3 #N/A
4 #N/A
5 #N/A
6 #N/A
7 #N/A
8 #N/A
9 #N/A
10 #N/A
11 #N/A
12 #N/A
13 #N/A
14 #N/A
15 #N/A
16 #N/A
17 #N/A
18 #N/A
19 #N/A
20 #N/A
21 #N/A
22 #N/A
23 #N/A
24 #N/A
25 #N/A
26 #N/A
27 #N/A
28 #N/A
29 #N/A
30 #N/A
31 #N/A
32 #N/A
33 #N/A
34 #N/A
35 #N/A
36 #N/A
37 #N/A
38 #N/A
39 #N/A
40 #N/A
41 #N/A
42 #N/A
43 #N/A
44 #N/A
45 #N/A
46 #N/A
47 #N/A
48 #N/A
49 #N/A
50 #N/A
51 #N/A
52 #N/A
53 #N/A
54 #N/A
55 #N/A
56 #N/A

33 of 00-049FY 2021 PBB_RO


57 #N/A
58 #N/A
59 #N/A
60 #N/A
61 #N/A
62 #N/A
63 #N/A
64 #N/A
65 #N/A
66 #N/A
67 #N/A
68 #N/A
69 #N/A
70 #N/A
71 #N/A
72 #N/A
73 #N/A
74 #N/A
75 #N/A
76 #N/A
77 #N/A
78 #N/A
79 #N/A
80 #N/A
81 #N/A
82 #N/A
83 #N/A
84 #N/A
85 #N/A
86 #N/A
87 #N/A
88 #N/A
89 #N/A
90 #N/A
91 #N/A
92 #N/A
93 #N/A
94 #N/A
95 #N/A
96 #N/A
97 #N/A
98 #N/A
99 #N/A
100 #N/A
x A. Total Amount of the FULL RATE Grant of PBB: 9,945.98
100 A. Total Number of Personnel with FULL RATE GRANT of PBB 100

B. List of Personnel Entitled to the PRO-RATED share of the PBB


DELIVERY UNIT
NAME OF EMPLOYEE Months in Service Monthly Basic Salary
Salary Salary Reason for the Grant of pro-rated PBB
No. REGION NO. REGION in FY 2022 (as of December 31, Amount of PBB
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2021) (Newly hired, Retired, Resigned etc.)
1 DELA CRUZ, JUAN DALISAY I ILOCOS REGION 15 1 4 35,097.00 8,554.89 Newly hired, Sept. 1, 2022
2 DELA CRUZ, JUANITO SANTOS I ILOCOS REGION 18 1 3 45,203.00 8,814.59 Retired, Mar. 31, 2022
3 CRUZ, JUANITA GONZALES I ILOCOS REGION 11 1 8 25,439.00 11,161.36 Maternity Leave, April 1-July 31, 2022
4 #N/A
5 #N/A
6 #N/A
7 #N/A
8 #N/A
9 #N/A
10 #N/A
11 #N/A

34 of 00-049FY 2021 PBB_RO


12 #N/A
13 #N/A
14 #N/A
15 #N/A
16 #N/A
17 #N/A
18 #N/A
19 #N/A
20 #N/A
21 #N/A
22 #N/A
23 #N/A
24 #N/A
25 #N/A
26 #N/A
27 #N/A
28 #N/A
29 #N/A
30 #N/A
x B. Total Amount of the PRO-RATED Share Grant of PBB: 28,530.84
30 B. Total Number of Personnel with PRO-RATED GRANT of PBB 30

C. List of Personnel DISQUALIFIED from grant of the PBB


DELIVERY UNIT
NAME OF EMPLOYEE Months in Service Monthly Basic Salary
Salary Salary
No. REGION NO. REGION in FY 2022 (as of December 31, Reason for Disqualification
(e.g., DELA CRUZ, JUAN DALISAY) Grade Step 2021)
1 DELA CRUZ, JUAN DALISAY I ILOCOS REGION 10 2 2 22,376.00 RENDERED LESS THAN
2 #N/A THREE (3) MONTHS OF
3 #N/A SERVICE
x Employees rendered less than 3 months 22,376.00
1 X #N/A DID NOT SUBMIT
2 X #N/A SALN
3 X #N/A
x Employees who failed to submit SALN -
1 X #N/A DID NOT LIQUIDATE
2 X #N/A CASH ADVANCE WITHIN
3 X #N/A REGLEMENTARY PERIOD
x Employees who failed to liquidate Cash Advance -
1 X #N/A DID NOT SUBMIT
2 X #N/A RPMS FORMS
3 X #N/A
x Employees who did not submit RPMS Forms -
1 X #N/A OTHERS
2 X #N/A (PLEASE SPECIFY)
3 X #N/A
x Others -
x C. Total Monthly Salary of Personnel DISQUALIFIED from PBB: 1.00
15 C. Total Number of Personnel DISQUALIFIED from PBB: 15

Prepared by: Certified Correct by: Approved by:

Signature over printed name Signature over printed name Signature over printed name
RO PMT Secretariat RO PMT Chair Regional Director

35 of 00-049FY 2021 PBB_RO


Summary Matrix
Department/Agency: DEPARTMENT OF EDUCATION
Region
School Division Office
No. of Delivery Units

Division School ID Delivery Unit No. of Officials and Total Amount of PBB
Employees Entitled
to PBB

Total 0 0

Prepared by: Certified Correct by:

Signature over printed Name Signature over printed Name


RO PMT Secretariat RO PMT Chair

Approved by:

Signature over printed Name


Regional Director

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