Republic of the Philippines

Department of Education
National Capital Region

REPORT ON THE FIRST DAY OF SERVICE OF TEACHER

1. Name of Teacher __ROMEO B. LUCERO JR.________________________________

2. Civil Status ______SINGLE_______________________________________________
3. Date of Birth SEPTEMBER 03, 1993 Place of Birth __PANGASINAN_______
4. Educational Qualification ___BACHELOR OF SECONDARY EDUCATION_______
(If BSE state the major/minor a. Major __MATHEMATICS___________
Subject.State if PNC, Private b. Minor __N/A_______________________
University or College) c. Date Graduated __APRIL 2014_______
5. Teaching Experience (Pub. Schs. Only) a. No. of Years ____N/A_______________
b. Last station ____N/A_______________
6. Civil Service Examination Passed: a. Kind ______LET___________________
(State if regular,provisional) b. Rating ___ 80.40__________________
c. Date Taken MARCH 20, 2016________
d. Place: PHILIPPINE COLLEGE OF CRIMINOLOGY_
7. Civil Service Status ___REGULAR-PERMANENT____________________________
8. is C.S eligible available or rejected the position offered? __N/A___________________
9. Prior Annual Salary ____P 249,048.00________________________________________
10. Recommended Annual Service _____________________________________________
11. First Day of Actual Service ___AUGUST 15, 2019______________________________
Signature of Teacher/Appointee _____________________________________________
12. Inclusive Date of Service ___________________________________________________
(if temporary or substitute) _________________________________________________
13. Name of Previous Incumbent _______________________________________________
Salary of Previus Incumbent _______________________________________________
14. Cause of Separation of PrevoiusIncumbent ____________________________________
15. Last Day of Service of Previous Incumbent ___________________________________
16. Permission to Transfer ____________________________________________________
17. Remarks: _______________________________________________________________
The appointee is not related by affinity of consaguinity to the recommending or appointing
official or to person exercising immediate supervision over him/her.

Respectfully submitted:

___RAUL SJ. CORTEZ__

Principal I

VERIFIED AND CERTIFIED CORRECT

_______________________________
DISTRICT SUPERVISOR
R.A. __________________________
Page _____________________________
Range ____________________________
Station ____________________________
Employee No. ______________________