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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
Division of Oriental Mindoro
Pinamalayan East District
UPPER BONGOL ELEMENTARY SCHOOL
Pinamalayan

SWORN STATEMENT OF NO COLLECTION

I, RODER A. OGBAC, of legal age, Filipino, School In-Charge of Upper Bongol


Elementary School, residing at M.H. Del Pilar St., Pinamalayan, Oriental Mindoro, after
having been duly sworn to in accordance with law, do hereby depose and say;

That the school where I am serving as School In-Charge is strictly complying with
the NO COLLECTION POLICY of the Department of Education for public schools.

That during and after the period of enrollment in our school, no collection was
made/asked from the students and their parents be it voluntary or authorized
contribution.

That the school, under my headship, will continue to comply with the NO
COLLECTION POLICY of the Department of Education.

That this sworn statement is executed to certify the facts above-stated to inform
the proper authorities concerned; and

That further declarant sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hands this 30th day of June,
2017 at Pinamalayan, Oriental Mindoro.

RODER A. OGBAC
Declarant

SUBSCRIBED AND SWORN TO before me this 29th day of June 2017 at


Pinamalayan, Oriental Mindoro, exhibited PRC ID No. ______________ issued at PRC
Manila on ______________.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______.
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
Division of Oriental Mindoro
DR. ARISTEO A. BALDOS SR. PAPANDAYAN HIGH SCHOL
Pinamalayan

SWORN STATEMENT OF NO COLLECTION

I, EMELITA D. GONDA, of legal age, Filipino, Head Teacher III/Teacher In-


Charge of Dr. Aristeo A. Baldos Sr. Papandayan High School, residing at Marfrancisco,
Pinamalayan, Oriental Mindoro, after having been duly sworn to in accordance with law,
do hereby depose and say;

That the school where I am serving as Teacher In-Charge is strictly complying


with the NO COLLECTION POLICY of the Department of Education for public schools.

That during and after the period of enrollment in our school, no collection was
made/asked from the students and their parents be it voluntary or authorized
contribution.

That the school, under my headship, will continue to comply with the NO
COLLECTION POLICY of the Department of Education.

That this sworn statement is executed to certify the facts above-stated to inform
the proper authorities concerned; and

That further declarant sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hands this 29th day of June,
2017 at Pinamalayan, Oriental Mindoro.

EMELITA D. GONDA
Declarant

SUBSCRIBED AND SWORN TO before me this 28th day of June 2017 at


Pinamalayan, Oriental Mindoro, exhibited PRC ID No. 0118971 issued at PRC Manila
on 09/05/1997.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______.
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
Division of Oriental Mindoro
Pinamalayan East District
RANZO ELEMENTARY SCHOOL
Pinamalayan

SWORN STATEMENT OF NO COLLECTION

I, EVA F. EUSTAQUIO, of legal age, Filipino, Teacher In-Charge of Ranzo


Elementary School, residing at Ranzo, Pinamalayan, Oriental Mindoro, after having
been duly sworn to in accordance with law, do hereby depose and say;

That the school where I am serving as Teacher In-Charge is strictly complying


with the NO COLLECTION POLICY of the Department of Education for public schools.

That during and after the period of enrollment in our school, no collection was
made/asked from the students and their parents be it voluntary or authorized
contribution.

That the school, under my headship, will continue to comply with the NO
COLLECTION POLICY of the Department of Education.

That this sworn statement is executed to certify the facts above-stated to inform
the proper authorities concerned; and

That further declarant sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hands this 29th day of June,
2017 at Pinamalayan, Oriental Mindoro.

EVA F. EUSTAQUIO
Declarant

SUBSCRIBED AND SWORN TO before me this 28th day of June 2017 at


Pinamalayan, Oriental Mindoro, exhibited PRC ID No. 0785705 issued at PRC Manila
on 11/19/2002.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______.
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
Division of Oriental Mindoro
Pinamalayan East District
LUMAMBAYAN ELEMENTARY SCHOOL
Pinamalayan

SWORN STATEMENT OF NO COLLECTION

I, RICARDO S. JANDA, of legal age, Filipino, Principal I of Lumambayan


Elementary School, residing at Anoling, Pinamalayan, Oriental Mindoro, after having
been duly sworn to in accordance with law, do hereby depose and say;

That the school where I am serving as Principal I is strictly complying with the NO
COLLECTION POLICY of the Department of Education for public schools.

That during and after the period of enrollment in our school, no collection was
made/asked from the students and their parents be it voluntary or authorized
contribution.

That the school, under my headship, will continue to comply with the NO
COLLECTION POLICY of the Department of Education.

That this sworn statement is executed to certify the facts above-stated to inform
the proper authorities concerned; and

That further declarant sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hands this 29th day of June,
2017 at Pinamalayan, Oriental Mindoro.

RICARDO S. JANDA
Declarant

SUBSCRIBED AND SWORN TO before me this 28th day of June 2017 at


Pinamalayan, Oriental Mindoro, exhibited PRC ID No. _______ issued at PRC Manila
on _________.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______.
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
Division of Oriental Mindoro
Pinamalayan West District
MARAYOS ELEMENTARY SCHOOL
Pinamalayan

SWORN STATEMENT OF NO COLLECTION

I, ELENA S. INIEGO, of legal age, Filipino, Head Teacher III of Marayos


Elementary School, residing at Marayos, Pinamalayan, Oriental Mindoro, after having
been duly sworn to in accordance with law, do hereby depose and say;

That the school where I am serving as Head Teacher III is strictly complying with
the NO COLLECTION POLICY of the Department of Education for public schools.

That during and after the period of enrollment in our school, no collection was
made/asked from the students and their parents be it voluntary or authorized
contribution.

That the school, under my headship, will continue to comply with the NO
COLLECTION POLICY of the Department of Education.

That this sworn statement is executed to certify the facts above-stated to inform
the proper authorities concerned; and

That further declarant sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hands this 30th day of June,
2017 at Pinamalayan, Oriental Mindoro.

ELENA S. INIEGO
Declarant

SUBSCRIBED AND SWORN TO before me this 30th day of June 2017 at


Pinamalayan, Oriental Mindoro, exhibited PRC ID No. _______ issued at PRC Manila
on _________.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______.
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
Division of Oriental Mindoro
Pinamalayan East District
RANZO ELEMENTARY SCHOOL
Pinamalayan

JUSTIFICATION

This is to certify that RANZO ELEMENTARY SCHOOL is located more than 20


kilometers from the town proper of Pinamalayan, thus making it hard to travel back and
forth to purchase feeding supplies for the feeding program. And the expenses for travel
is quite expensive as it amounts to Php300 back and forth.

This further certifies that they need to slaughter a whole pig to accommodate
their needs for feeding.

Given this ___ day of ___________, 2017 for feeding liquidation purposes.

EVA F. EUSTAQUIO
SBFP Coordinator