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'J
MEMORANDUM
TO
SUBJECT:
coMMrssroN (csc)
The
and
of the
to properly
Enclose : as staled
Copy furnished:
. RUEDA.ACOSTA
Chief Public Attorney,
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CIVIL SERVICE
coMMtssro^,
Poto so
louil BAWIi
MC
No. ,0 3 -, s.2015
MEMORANDUM CIRCULAR
TO
BODIE|I;
CONTROLLED CORPORATIONS;
SUBJECT
Pursuant to CSC Resolution No. 13-00173 dated January 24, 2013, the
Commission adopted the revised form of the Statement of Assets, Liabilities and Net
Worth (SALN) for year 2012 and onwards and prescribed the corresponding Guiclelines in
Filling Out the SALN Form.
of the Philippine
agencies, offices or corporations that are not identified under Republic Act No. 6713 or the
of Conduct and Ethical Standards for Public Offrcials and Employees. This
circumstance brought confusion among agencies, offices as well as public officers and
employees as to where their SAINs should be filed or transmitted. Thus, the Cornmission
recognized the need to clarify the proper agencies or offices where particular public
offrcers and employees should file their respective SALNs.
Code
Furthermore, there is also the need to clarify the required disclosure of real property
with regard to its location in keeping with the true mandate of public disclosure and
transparency.
Thus, the Commission promulgated CSC Resolution No. 1500088 dated January
23,2015 which adopted the attached Revised SALN Form and the following amendments
in the Guidelines in the Filling Out of the SALN Form Beginning CY 2012 (CSC IvlC No.
10, s. 201 3) and CSC Resolution No. 060231 dated February I, 2006 (CSC MC IIo. 10, s.
2006):
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ph.4
------------X
National Ol/ice
of
the
Ombudsman
ional Offi c i a I s
Chairpersons of Commission
on Audit (COA), Commission
on Election (COMELEC) and
C ons t itut
(csc)
- Commissioners
Secretary
of the House of
Representatives
of
COA,
Senators
Representatives
(C ongr e s s men/C ongr e s sw o men)
Court Administrator
:' .
Page 3
x+
of6
----------------x
Undersecretaries;
- Assistant Secretaries;
- Officials in rhe
Foreign
Service and;
or contolled corporations
with original charters
and
their subsidiaries and
Heads of state colleges and
universities
of the
Philippine
Olficers
National Police from the rank of
Senior Superintendent
Superintendent,
- Chief
- Commodore, Rear
Vice
Deputy Ombudsman
in
respective region
(Luzon,
their
Admiral,
Admiral and Admiral
'.SALN
Revised Guidelines Amendment MC 2015
Page 4
of6
Visayas or Mindanao)
- Deparlments, bureaus
agencies
and
of the National
Government
elective
Ensign
0'lavy)
Other enlisted oficers
Officers
of rhe Philippine
of6
- Captain,
Lieutenant
Commander,
Commander,
Lieutenant,'Lieutenanl Junior
Grade and Ensign
in the
central/main/national
offices of
following:
- Departments, bureaus and
the
agencies
of the
National
Government
- Judiciary
Constitutional
and
Commissions
and offices
- Government owned and/or
All
The foregoing amendments shall be prospective in application and shall take effect
after fifteen (15) days from its publication in a newspaper of general circulation.
.Seln
Pagp 6
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x--------------
------------x
Public officials and employees who have filed or will file their S,t\LNs in
compliance with CSC Resolution No. 1300173 dated January 24, 2013 (CSC
Memorandum Circular No. 2, s. 2013) prior to the effectivity date of these am:ndments
shall be considered to have substantially complied with the filing of the SALNs for the
year 2014. However, public officials and employees who will file their SALNs after the
effectivity date of these amendments are mandated to strictly comply with the disclosure of
exact location and the use of the attached Revised SALN Form.
Quezon City.
ROBERT S. MA .TINEZ
Acting Chai an
February 17,2015
5(2)
LLI
13)
I
J Joint Filing
Cl Separate
Filirtg
Applicoble
(Fa:aily
Name)
(First
Neme)
(M.I.)
POSITION:
AGENCY/OFFICE:
OFFICE ADDRESS:
(Famity
Name)
(First
Name)
(M.I.)
POSITION:
AGENCY/OFFICE:
OT'FIC'E ADDRESS:
DECLARANT:
ADDRESS:
SPOUSE:
UNIVI,ARRIED CHILDRTN BEIOW EIGHTEEN I18I YEARS OF AGE LWING IN DECLARANT'S HOUSEHOLD
DATEOFBIRTH
NAUE
AGE
I.
ASSIETS
i
a. Real Propertiqs*
(As found
in
t]re Tu DccLaration of
Real Prcperty)
Subtotal:
b. Personal Propertles*
Subtotal:
I
TOTALASSTETS (a+b):
I of_
,_
2.
LIABILITIES*
TOTAL LIABILITIES:
* Additional sheet/ s may be used,
if
spouse/ Unmanried Chitdren Below Eighteen (18) gears of Age Liuing in Declarati's Hottsehold)
o I/ we do not haue
BUSINESS ADDRF^SS
NATIIRE OEBUSINESS.
II{IIIREST
&/OR FINANCIAL
.'-I]ONNI;qIION
Affiitg.
NAIIE OI'RELATMI
RELATIONSIilP
: POSITION
and Inso)
seruice)
I hereby certi& tl.at 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 i,
-y household, and that to the best of my lc:owledge, t11e aboveenumerated are narnes of my relatives in the government within the fourth civil degree of consanguinit5r or
atrnity.
I hereby atrthorize the Om.budsman or his/her duly authorized representative to obtain and
secure from all appropriate goverrrment agencies, including the Bureau of Internal Revenue such
documents that may show my assets, liabilities, net worth, business interests and financial connections,
to include tleose of my spouse and unmarried children below 18 years of age living with me in my
household covering previous years to include the year I first assumed office in government.
Date:
( Sign
ature of
eclamtt )
Government Issued ID
ID No.:
Date Issued:
of _,
(P er s
Page 2 oJ _
affiant exhibiting
on Admini st eirLg
O ath)
to me tlre above.stated.
..
2.
LIABILITIES*
TOTAL LIABILITIES:
NET WORTH : Total Assets less Total Liabilitles =
Househotd)
1,171so)
.,,.,
riiaurilo r.Ceeircil
ot
I hereby
certi$z t}Iat these are true and correct statereents of m.y assets, Iiabilities, net worttl.,
business interests and financial conrr.ections, including those of my spouse arrd un-nearried children below
eighteen (18) years of age living i. my household, and that to the best of my h:owledge, t1-e aboveenumerated are nar''es of my relatives in the goverunent \ dtldn the fourth civil degree of consanguinity
or
atrrfty.
I hereby amthorize the onebudsnean or his/her duly autl. ot'rzed, 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
hotrsehold covering previous years to include the year I first assumed office in government.
Date:
( Sign
I^^,,
^-1.
ature of
D e clarant )
ID No.: