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OCA CIRCULAR NO. 105-2004

TO : ALL LOWER COURT PERSONNEL

SUBJECT: ADDITIONAL REQUIREMENT FOR AVAILING OF STUDY

LEAVE BENEFITS UNDER THE EDUCATIONAL SUPPORT
PROGRAM FOR THE LOWER COURTS

In the implementation of the Educational Support Program for the Lower

Courts (ESP-LC), many lower court employees granted study leave benefits who
do not complete the service obligation required in the Contract of Undertaking
they entered into with the Office of the Court Administrator fail to make the
required refund of the salaries and benefits they had received while on study leave.

To ensure that the beneficiary's obligation for refund is complied with, the
Educational Support Program Committee for the Lower Courts (ESPC-LC), with
the approval of the Court Administrator, adopts the policy of the Personnel
Development Committee of the Supreme Court requiring study leave applicants to
submit a Guarantor's Undertaking, with the modification that such Undertaking be
executed by five (5) employees of the Supreme Court or Lower Courts with
permanent appointments who shall assume joint and several liability for the
grantee's monetary obligations in case of non-fulfillment of the conditions in the
Contract of Undertaking.

In view thereof, all ESP- LC study leave applicants are hereby required to
submit a duly accomplished Guarantors' Undertaking as prescribed herein
simultaneously with the study leave application and other requirements

For your information and guidance.

02 September 2004.

PRESBIT RO J. VELASCO, JR.

C urt Admiuistrato~

Enc!.: Pro forma Guarantors' Undertaking

ESPC Form NO.4

EDUCA TIONAL SUPPORT PROGRAM

FOR THE LOWER COURTS

GUARANTORS' UNDERTAKING

KNOW ALL MEN BY THESE PRESENTS:

For and in consideration of the attached Contract of Undertaking of

(Name of Applicant) (Position)

________________ , we,
(Court/Station)

1. NAME: _
POSITION/STATUS OF APPOINTMENT: _
COURT/STATION: _
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHONE NO.: _

2. NAME: _
POSITION/STATUS OF APPOINTMENT: _
COURT/STATION: _
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHONE NO.: _

3. NAME: _
POSITION/STATUS OF APPOINTMENT: _
COURT/STATION: _
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHO}'TE NO.:

4. NAME: -----------_._--------
POSITION/STATUS OF APPOINTMENT: ~ _
COURT/STATION: ----
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHONE NO.: _
 5. NAME: --------_._-------------
POSITION/STATUS OF APPOINTMENT: ----------
COURT/STATION: -------------------
TELEPHONE NO.: ------------------
HOME ADDRESS: --------------------
TELEPHONE NO./CELL PHONE NO.:

bind ourselves solidarily to pay the monetary obligations of

in case of the non-fulfillment of the
(Name of Applicant)
conditions set forth in the said contract.

We hereby authorize the Supreme Court to deduct from our salaries as

paYlnent for whatever monetary obligations that the herein applicant will incur
due to the non-fulfillment of the conditions in the Contract of Undertaking.

IN WITNESS WHEREOF, we have hereunto set our hands at

________ , this day of 20

1. -------------- 2. --------------
(Guarantor's Signature over Printed Name) (Guarantor's Signature over Printed Name)

3. 4. _
(Guarantor's Signature over Printed Name) (Guarantor's Signature over Printed Name)

5.
--------------
(Guarantor's Signature over Printed Name)

(Applicant's Signature over Printed Name)

SIGNED IN THE PRESENCE OF:

(Witness' Signature over Printed Name) (Witness 'Signature over Printed Name)

2
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

__________ ) S.S.

BEFORE ME, the undersigned Notary Public, this day of

________ 20 in , personally appeared
the following guarantors with their respective Community Tax Certificate:

1. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)

2. -------
(Name af Guarantar) (CTC Number) (Place af Issue) (Date af Issue)

3. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)

4. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)

5. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)

known to Ine to be the same persons who executed the foregoing instrument
consisting of three (3) pages, including this page on which this
Acknowledglnent is written, and signed at each and every page by the parties
executing this instrument and their witnesses and sealed with my seal. The
parties have acknowledged to me that this Undertaking is their free and
voluntary act and deed.

WITNESS MY HAND and Notarial Seal at the _

on the date first above written.

NOTARY PUBLIC

Doc. No. ----

Page No. _
Book No. ----
Series of20