BP205 (PS).xlsx

	B	C	E	G	I	J	L	M	N	O	Q	S	T	U	V	X
1
2	BP FORM 205
3	LIST OF RETIREES
4	FOR PAYMENT OF TERMINAL LEAVE AND RETIREMENT GRATUITY BENEFITS
5	FY 2023
6	Department		:
7	Agency		:
8	Operating Unit		:
9	NAMES OF RETIREES AND RETIREMENT LAW			Position at Ret. Date	Date (Mo/Day/Year)			Highest Monthly Salary (Per NOSA)	TERMINAL LEAVE			RETIREMENT GRATUITY
10					Date (Mo/Day/Year)				No. of Leave Credits Earned		Amount	Total Creditable Service		No. of Gratuity Months	Amount
11					Birth	Orig. Appt.	Ret.		VL	SL	Amount	Total Creditable Service		No. of Gratuity Months	Amount
12	(1)			(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)		(11)	(12)
13	For Non-GSIS Members: (e.g. Military/Uniformed)
14	Optional
15
16	Sub-Total - For Non-GSIS Members: (e.g. Military/Uniformed)
17	TOTAL
18	PREPARED BY:				APPROVED BY:						DATE:
19
20	EFREEL C. LIGSANAN				MIRAFLOR B. EMATA, PHD
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24	Budget Officer-Designate				Vocational School Administrator II						DAY/MO/YEAR
25
26	Status -	NOT APPLICABLE											Page 1 of			1
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