Revised ax of January 2015 Per CSC Resolution No, 1500088 Promulgated on January 29,2015 ‘SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH ‘As of December 31,2018 (Required ty R.A. 6713] Note: Husband and wife who are both public ofcials and employees may file the required statements jointly or separately. O voint Fiting G Separate Filing O Not Applicable DECLARANT: ASIS RIZALDY B. Postrion: TEACHERT amily Name irst Name TALI NCY/OFFICR. PED SAN FRANCISCO ADDRESS: DISTRICT) BRGY. RIZAL OFFICE ADDRESS; POBLACION 5 —ATIMONAN ‘QUEZON - FRAN SPOUSE: N/A Position: N/A ~Passily Namo) (FirstName) DEL) AGENCY/oFFICE: OFFICE ADDRESS: ED 5 19 2 LIVING I HOUsEHO aes wa aD. Checking te DEEP TES, orzeen (18) ears of ape Oa deers Nec 1. Asser oer iad bgp omen eas a ee ae ee ce ie es ora ear ge ES ce fears geared ee ee dtu wa ‘Motorcycle Rusi 100 2015 Cell Phone Samsung J2 Pro 2017 | Appliances i - 2018 * Additional sheet/s may be used, if necessary. Page I of 2TOTAL LIABILITIES: 2 NET WORTH : Total Assets less Total Liabilities = _P 22,000.00 * Additional sheet/s may be used, if necessary. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS (of Dectarant /Dectarant’s spouse/ Unmarried Children Below Bighteen (18) years of Age Living in Delarant’s Household) D./ We do not have any business interest or financial connection. NAME OF ENTITY/BUSINESS BUSINESS ADDRESS (NATURE OF BUSINESS DATE OF ACQUISITION OF Do fo MNFEREST 8/OR FIKANCLAL | TEREST RELATIVES IN THE GOVERNMENT SERVICE (Within the Powth Degree of Consanguinity or Affinity, hictude also Bilas, Balae and faso) O./We do not know of any relative/s in the government service) (NAME OF RELATIVE RELATIONSHIP (POSITION NAME OF AGENCY/OFFICE AND ADDRESS | PETER ANTHONY B. ASIS. BROTHER ‘TEACHER | DBP ED SAN FRANCISCO, QUEZON Thereby certify that these are true and correct statements of my assets, liabilities, net worth, business interests and financial connections, including those of my spouse and unmarried children below eighteen (18) years of age living in my household, and that to the best of my knowledge, the above- enumerated are names of my relatives in the government within the fourth civil degree of consanguinity or affinity. I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and secure from all appropriate government agencies, including the Bureau of Internal Revenue such documents that may show my assets, liabilities, net worth, business interests and financial connections, to include those of my spouse and unmarried children below 18 years of age living with me in my household covering previous years to include the year [ first assumed office in government. Date: N/A Bioify of Decaran), ‘Bignatare of Co Declarant] Spouse] Goiernimént Issued 1: PRC LICENSE. Government Issued 1D: _-N/A IDNo. 1462391 1D No: Date fssued! 7/02/2016 Date Issued: SUBSCRIBED AND SWORN to before me this 7th day of February, affiant exhibiting to me the above-stated government issued identification card. JOCELYN N. ALLAREY (Person Administering Oath) Page 2 of 2