OCA CIRCULAR NO. 105-2004, September 02, 2004
OCA CIRCULAR NO. 105-2004, September 02, 2004
|
TO:
|
ALL LOWER COURT PERSONNEL
|
|
SUBJECT:
|
ADDITIONAL REQUIREMENTS FOR AVAILING OF STUDY LEAVE BENEFITS UNDER EDUCATIONAL SUPPORT PROGRAM FOR THE LOWER COURTS
|
In the implementation of the Educational Support
Program for the Lower Courts (ESP-LC), many lower court employees
granted study leave benefits who do not complete the service obligation
required in the Contract of Undertaking they entered into with the
Office of the Court Administrator fail to make the required refund of
the salaries and benefits they had received while on study leave.
To ensure that the beneficiary’s obligation for
refund is complied with, the Educational Support Program Committee for
the Lower Courts (ESPC-LC), with the approval of the Court
Administrator, adopts the policy of the Personnel Development Committee
of the Supreme Court requiring study leave applicants to submit a
Guarantor’s Undertaking, with the modification that such Undertaking be
executed by five (5) employees of the Supreme Court or Lower Courts with
permanent appointments who shall assume joint and several liability for
the grantee’s monetary obligations in case of non-fulfillment of the
conditions in the Contract of Undertaking.
In view thereof, all ESP-LC study leave applicants
are hereby required to submit a duly accomplished Guarantors’ Undertaking
as prescribed herein simultaneously with the study leave application
and other requirements
For your information and guidance.
__02__ September 2004.
|
PRESBITERO J. VELASCO, JR.
|
|
|
Court Administrator
|
ESPC FORM NO. 4
EDUCATIONAL SUPPORT PROGRAM
FOR THE LOWER COURTS
GRANTOR’S UNDERTAKING
KNOW ALL MEN BY THESE PRESENTS:
___________________________________,
___________________________________________, we,
1. NAME:________________________________________________ POSITION/STATUS OF APPOINTMENT: __________________ TELEPHONE NO.:______________________________________ HOME ADDRESS:______________________________________ TELEPHONE NO./CELLPHONE NO.:______________________ 2. NAME:________________________________________________ POSITION/STATUS OF APPOINTMENT: __________________ TELEPHONE NO.:______________________________________ HOME ADDRESS:______________________________________ TELEPHONE NO./CELLPHONE NO.:______________________ 3. NAME:________________________________________________ POSITION/STATUS OF APPOINTMENT: __________________ TELEPHONE NO.:______________________________________ HOME ADDRESS:______________________________________ TELEPHONE NO./CELLPHONE NO.:______________________ 4. NAME:________________________________________________ POSITION/STATUS OF APPOINTMENT: __________________ TELEPHONE NO.:______________________________________ HOME ADDRESS:______________________________________ TELEPHONE NO./CELLPHONE NO.:______________________ 5. NAME:________________________________________________ POSITION/STATUS OF APPOINTMENT: __________________ TELEPHONE NO.:______________________________________ HOME ADDRESS:______________________________________ TELEPHONE NO./CELLPHONE NO.:______________________
| bind ourselves solidarity to pay the monetary obligations of________________________________________________ in case of the non-fulfillment of the |
||
|
(Name of Applicant) |
||
| conditions set forth in the said contact. | ||
. IN WITNESS WHEREOF, we have hereunto set our hands at
_________________________________, this ________ day of
__________________________ 20 ___.
| 1. ________________________________ | 2. ________________________________ |
| (Guarantor’s Signature over Printed Name) | (Guarantor’s Signature over Printed Name) |
| 3. ________________________________ | 4. ________________________________ |
| (Guarantor’s Signature over Printed Name) | (Guarantor’s Signature over Printed Name) |
|
5. ________________________________
|
|
(Guarantor’s Signature over Printed Name)
|
SIGNED IN THE PRESENCE OF:
| ________________________________ | ________________________________ |
| (Witness’s Signature over Printed Name) | (Witness’s Signature over Printed Name) |
A C K N O W L E D G E M E N T
REPUBLIC OF THE PHILIPPINES)
_____________________________) S.S.
BEFORE ME, the undersigned Notary Public, this _____________ day
of ______________ 20 ___ in ____________________________, personally
appeared the following guarantors with their respective Community Tax
Certificate.
| 1. __________________________ |
____________________________
|
____________________________
|
____________________________
|
|
(Name of Guarantor)
|
(CTC Number)
|
(Place of Issue)
|
(Date of Issue)
|
| 2. __________________________ |
____________________________
|
____________________________
|
____________________________
|
|
(Name of Guarantor)
|
(CTC Number)
|
(Place of Issue)
|
(Date of Issue)
|
| 3. __________________________ |
____________________________
|
____________________________
|
____________________________
|
|
(Name of Guarantor)
|
(CTC Number)
|
(Place of Issue)
|
(Date of Issue)
|
| 4. __________________________ |
____________________________
|
____________________________
|
____________________________
|
|
(Name of Guarantor)
|
(CTC Number)
|
(Place of Issue)
|
(Date of Issue)
|
| 5. __________________________ |
____________________________
|
____________________________
|
____________________________
|
|
(Name of Guarantor)
|
(CTC Number)
|
(Place of Issue)
|
(Date of Issue)
|
known to me to be the same persons who executed the foregoing
instrument consisting of three (3) pages, including this page on which
this Acknowledgment is written, and signed at each and every page by the
parties executing this instrument and their witnesses and sealed with my
seal. the parties have acknowledged to me that this Undertaking is their
free and voluntary act and deed.
WITNESS MY HAND and Notarial Seal at the __________________________ on this date first above written.
|
NOTARY PUBLIC
|
Doc. No. _________
Page No. _________
Book No. _________
Series of 20 ___