Annex 10
CERTIFICATE OF COMPLIANCE
SALN Submission/Filing
This certifies that the (Jail/Unit) fully satisfies the Statement of Assets, Liabilities and
Net Worth (SALN) requirement of the Performance-Based Incentive System for Fiscal Year
2016.
This also attests that all submissions of personnel concerned has substantially complied
with the minimum requisites for content and formalities prescribed under Republic Act 6713 and
its Implementing Rules and Regulations, which are as follows:
a. Basic Information
b. Assets (Real Properties and Personal Properties)
c. Liabilities
d. Net Worth
e. Financial Connections and Business Interests
f. Relatives in the Government
This further certifies that out of (#) personnel qualified for PBB under the 2016 PBIS
Guidelines, (#) personnel have completed and filed their SALN as reflected below:
Jail No. of No. of Employees Percentage of
Employees/Personnel with duly Compliance
accomplished (%)
Submitted SALN
(Name of Jail) (#) (#) (%)
The (ex. Caloocan City Jail) has forwarded/filed with the appropriate entity (i.e. Ombudsman in
the case of President, Vice President and Constitutional Officials; etc.), in accordance with RA
6713 and its implementing rules and regulations.
IN WITNESS WHEREOF, we have hereunto affixed our signatures on the ___ day of _____
2017 at (Complete Address of Jail)
( Chief, PRM Units Signature ) ( WARDENS SIGNATURE )
Chief, PRM Unit Warden of ______________
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