Department of Education
Region II
DIVISION OF ISABELA
SALINUNGAN NATIONAL HIGH SCHOOL
San Mateo
SERVICE RECORD
NAME: CAFIRMA, ARVIN CHY
Last Name First Name Middle Name (if married, give full maiden name)
BIRTHDAY: NOVEMBER 9, 1973 SAN MATEO, ISABELA (Date herein should be checked in birth
(Date) (Place) or baptismal certificate or other official
documents)
This is to certify that the employee named herein above actually rendered service in this office or
Office as indicated below each line of which is supported by appointment and other papers actually
issued and approved by the authorities concerned:
ISSUED in compliance with Executive Order No. 54 dated August 10, 1954 in accordance with Circular No. 58,
dated August 10, 1954 of the system.
CERTIFIED CORRECT:
Date: ____________________
SERVICE RECORD
REMARKS
CERTIFIED CORRECT: