Republic of the Philippines

Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGA SIBUGAY

SCHOOL NAME: KABASALAN NHS

NAME OF EMPLOYEE

Title
(Mr. Mrs. Ms.) SURNAME, FIRST NAME MI FIRST NAME MI

1 Mr. DALISAY, RICARDO A. RICARDO A

2 Mr. TUAZON, JOAQUIN S. JOAQUIN S

Prepared by:

School ICT Coordinator

NOTE : Elementary must be consolidated by District

Secondary must be consolidated by School
Thi s data will be use for the EHRIS Rollout in School Level
Soft Copy mus be Submitted on or before April 30, 2017
 School

NAME OF EMPLOYEE

Suf POSITION / DESIGNATION SALARY GRADE

MIDDLE NAME LASTNAME x

ALBE DALISAY TEACHER I 11

SALVADOR TUAZON TEACHER II 12

Certified Correct :

School Head / District Head

 School User Account Creation Form (UACF)

EXISTING & ACTIVE EMAIL

ADDRESS Unique Application Number
(preferably deped email Employee Number (Teachers Hired 2015-2016 , 2016
address, if none you can use (Found in the Payslip) - 2017)
personal gmail or yahoo
email add)

ricardo.dalisay@deped.gov.ph 5730000 T15091974

joaquintuazon@gmail.com 5730001
 Date of Joining
(Date of First Day of Service CONTACT NUMBER
of your Current Position)

7/31/2015
5/15/2016
Employment Status
(Regular Permanent - Teaching & Related Teaching SCHOOL NAME
Permanent - Non Teaching
Provisional - SHS Teachers (Non LET))

REGULAR PERMANENT KABASALAN NHS

REGULAR PERMANENT KABASALAN NHS
SCHOOL ID

303839
303839