Telephone Nos, Website:

Office Address: National Government Center EDSA, Diliman, Quezon City, Philippines (02) 929-6071 to 78 www.nia.gov.ph

Telefax No, (632) 928-9343 TIN No. 000-916-415

MCNo._/^s.2018

MEMORANDUM CIRCULAR

TO THE SENIOR DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATORS, DEPARTMENT / REGIONAL / PROJECT MANAGERS, DIVISION MANAGERS AND ALL OTHERS CONCERNED

SUBJECT : FILING AND SUBMISSION OF STATEMENT OF ASSETS, LIABILITIES AND NETWORTH (SALN) FOR THE CALENDAR YEAR 2017

In accordance with Section 8 of RA 6713, all NIA officials and employees are required to file and submit their Statement of Assets, Liabilities and Networth [SALN] for Calendar Year 2017 using the attached revised SALN Form pursuant to CSC Resolution No. 1500088 dated January 23,2015 on or before March 31, 2018 with the Human Resources Division for Central Office or Administrative and Finance Division/Section for field offices.

All officials and employees NIA-wide, regardless of employment status, shall submit their SALN's, starting Calendar Year 2013 to 2017, as well as soft copy stored in a compact disc (CD) to be forwarded to the Administrative Department Attn: Human Resources Division, for consolidation on or before April 30, 2018, together with the Certification of Compliance SALN Submission/Filing and List of Officers and Employees Submission of SALN. List of employees who are with no employer-employee relationship shall be in a separate Summary List of Filers of SALN. Hard copies of SALN shall be maintained by the Administrative Department while soft copies of SALN shall be forwarded to Internal Audit Services (IAS).

Compliance to the timely submission of the SALN is one of the requirements for the grant of Performance-Based Bonus (PBB). Administrative Department Manager, Regional Managers/Department Managers for UPRIIS and MARIIS, Project Managers and IMO Managers are hereby authorized as Administering Officer for SALN of personnel wi thin their area of jurisdiction.

The Committee to review the compliance procedure in the filing and submission of SALN per CSC MC No. 10 s. 2016 for Central Office, is as follows:

CHAIRPERSON:

ATTY. AILYNE C. AGTUCA-SELDA - Administrative Department

MEMBERS:

ROSEMARIE B. SALVADOR Human Resources Division Administrative Department

MARK GEMIL M. FAGELA Accounting Division Financial Management Department

The Regional Managers/Department Managers/Project Managers are hereby directed to create their respective committee and furnish the Central Office copy thereof. The Committee shall perform the following functions:

1. Evaluate the SALN Form submitted to determine whether it was submitted on time, accomplished completely and proper in form;

2. Establish compliance procedures for the review of SALN.

Moreover, enclosed for your information, is a copy of Memorandum Circular No. 2 issued on August 2, 2017 from the Office of the Ombudsman which provides among others, the additional Guidelines on the Submission of Statements of Assets, Liabilities and Networth (SALNs] and Disclosures of Business Interest and Financial Connections to the Office of Ombudsman as required under Section 8 of Republic Act 6713.

Item No. 2 and 3 of Memorandum Circular No. 2 which underscores the duties of the Chief/Head of the Personnel/Administrative Division or Unit/HRMO concerned, viz:

"2. SALN's required to befiled after assumption ofoffice or after separation from the service - The Chief/Head of the Personnel/Administrative Division or Unit/Human Resource Management Office [HRMO] shall submit all original [hardjcopies of the SALNs of officials and employees received after their assumption ofoffice or after separation from the service, together with electronic copies thereof 30 days upon receipt of such SALNs to the Office of the Ombudsman Central office or its respective area or sectoral offices.

3. Certification of Head of Agency/Office - The list of officials and employees who filed their SALN's [Nos. 1 and 2 hereof), which the Chief/Head of the Personnel/Administrative Division or Unit/Human Resource Management Office [HRMO] is required to submit to the Office of the Ombudsman or its respective area or sectoral offices, shall accompanied by a certification by the head of agency/office concerned that the SALNs submitted electronically are faithful reproductions of the original copies submitted by the officials and employees of the office, using the format. "

Be reminded that failure of an official or employee to file SALN is punishable under Rule IV, Section 52 (B) (8) of the Uniform Rules on Administrative Cases in the Civil Service (CSC Resolution No. 99-1936 dated August 31,1999), of suspension for one (1) month and one (1) day to six (6) months for the first offense, and dismissal from the service for the second offense. [Sec. 4 of CSC Resolution 06-0231, February 1,2006.]

For gui( \na strict compliance.

;N RlCARpO R VISAYA (RET) Administralcor

€>(fifr o( thr ^3irsii)riU of tlK pHlippinrs G O V E R N A N C E C O M M I S S I O N l O R C O V r i l N M I i N l O V V N r n o r C O N I R O I I I D C O R I ' O R A T I O N S 3/F, Citibank Center, 8741 Paseo De Roxas, Makati City, Philippines 1226

* 1 - 0 8 5 0 - 0 6 - 1 0 - 2 D 2 4 8 5 0 *

A System ISO 9001:2008

TUVRhelnland

05 O

I ober2017

A

MR. LEONCIO B. E V A S C O Cabinet Secretary and Chairperson MR. RICARDO R. VISAYA Administrator

NATIONAL IRRIGATION ADMINISTRATI(3*litWlA)rator's O f f ^e NIA Complex, EDSA, Diliman, Quezon City

/

^^''^nanrrigation Administration Central Office

PRDRS-2017-10.7385

241337 nece/ved By: 11-Oct-2017

-niiDL

R E : TRANSMITTAL OF MEMORANDUM C I R C U L A R NO. ^ TO A L L G O C C s L

OCf I 8 2017

J

Dear Cabinet Secretary Evasco and Administrator Visaya, At

(.'U-';7A<Uf.̂ i;jlSrRATOI< FOR ..Mo»:i/'.ii.L r,i.d FINANCE SECTOR

This is to officially transmit a copy of Memorandum Circular No. 2 from the Office of the Ombudsman which provides for additional guidelines on the submission of Statements of Assets, Liabilities, and Net Worth (SALNs) and Disclosures of Business Interests and Financial Connections to the Office of the Ombudsman as required under Section 8 of Republic Act No. 6713. To reiterate, GOCCs are hereby directed to strictly observe and comply with these additional guidelines.

F O R YOUR COMPLIANCE. Very Iruly yours.

SAMU GPIN, JR.

Chairman

MICHAEL P. C L O R I B E L Commissioner

M A R I I E S C . DORAL Commissioner

0 - 1 1 .0 0 - 2 0 - 0 9 - 2 0 1 7 - 0 2 2 8 0

Republic of the Philippines O F F I C E O F T H E OMBUDSMAN Agham Road, Diliman, Quezon City 1104

4 ^ MEMORANDUM C I R C U L A R NO. 2

TO A L L HEADS O F DEPARTMENTS, BUREAUSl

S U B J E C T

O F F I C E S AND A G E N C I E S O F T H E N A T I O N A i r ^ AND L O C A L GOVERNMENTS, A R M E D F O R C E S O F T H E PHILIPPINES, GOVERNMENT-OWNED AND C O N T R O L L E D CORPORATIONS AND T H E I R SUBSIDIARIES, AND A L L O T H E R O F F I C E S C O N C E R N E D ADDITIONAL G U I D E L I N E S ON T H E SUBMISSION O F S T A T E M E N T S O F ASSETS, L I A B I L I T I E S , AND N E T W O R T H (SALNs) AND D I S C L O S U R E S OF BUSINESS I N T E R E S T S AND FINANCIAL CONNECTIONS TO T H E O F F I C E O F T H E OMBUDSMAN AS R E Q U I R E D UNDER S E C T I O N 8 O F R E P U B L I C A C T NO. 6713

Pending the full implementation of the electronic Statement of Assets, Liabilities and Net Worth (e-SALN) program, all agencies and instrumentalities of the government whose officials and employees are required to file their SALNs and Disclosures of Business Interests and Financial Connections within the periods specified under Section 8 (A) of Republic Act No. 6713, and to submit the same to the Office of the Ombudsman are hereby directed to observe the following additional guidelines on the submission of their SALNs and Disclosures;

1. SALNS and Disclosures required to be filed on or before April 30 of every year. - The Chief/Head of the Personnel/Administrative Division- or Unit/Human Resource Management Office (HRMO) shall receive and evaluate the SALN forms of its officials "and employees and submit all original (hard) copies of the SALNs received, together with electronic copies thereof on or before June 30 of every year, to the Office of the Ombudsman pentral office or . its respective area or sectoral offices, as specified under Civil Service Commission Resolution No. 1500088, promulgated on 23 January 2015, to wit;

Repository Office Officers and Employees Office of the Ombudsman Central Office

President Vice President Constitutional Officials

- Chairpersons of Commission on Audit (COA), Commission on Election (COMELEC) and Civil Service Commission (CSC)

.'J

Page 2 of 4 Memorandum Circular Additional Guidelines on Submission of SALNs

- Commissioners of COA, COMELEC and CSC

- Ombudsman and his/her Deputies

- Officials and erhployees of Departments, bureaus and agencies, including Government-owned and/or controlled Corporations with and without original charter and their subsidiaries, State colleges and universities, and Local Government Units, the offices of which are located in the National Ca]3ital Region'

Office of the Deputy Ombudsman in their respective area or sectoral offices (Luzon, Visayas, Mindanao or Military and Other Law Enforcement Offices)

Regional officials and employees of the following offices:

Departments, bureaus and agencies of the national government

- Judiciary and Constitutional Commissions and offices

- Government-owned and/or controlled corporations with and without original charter, and their subsidiaries in the regions

- State colleges and universities

' P r o v i n c i a l elective officials ""and employees including Governors, Vice-Govemors and Sangguniang Panlalawigan Members

City and municipal elective officials and employees including Mayors, Vice-Mayors, Sangguniang Bayan/Panlungsod Members and Barangay officials

Officers of the Armed Forces of the Philippines (AFP) below the rank of colonel or naval captain

' In addition to the offices listed in C S C Resolution No, 1500088.

Page 3 of 4 Memorandum Circular Additional Guidelines on Submission of SALNs

- Lieutenant Colonel, Major, Captain, Lieutenant and 2"̂ ^ Lieutenant (Army and Air Force)

- Commander, Lieutenant Commander, Lieutenant Senior Grade, Lieutenant Junior Grade and Ensign (Navy)

- Other enlisted officers •

Officers of the Philippine National Police (PNP) below the rank of Senior Superintendent,

- Superintendent, Chief Inspector, Senior Inspector and Inspector

- Other police officers

Officers of the Philippine Coast Guard (PCG) below the rank of Commodore

- Captain, Commander, Lieutenant Commander, Lieutenant, Lieutenant Junior Grade and Ensign

2. SALNs required to be filed after assumption of office or after separation from the service. - The ChieOTead of the Personnel/Administrative Division or Unit/Human Resource Management Office (FIRMO) shall submit all original (hard) copies of the SALNs of officials and employees received after their assumption of office or after separation from the service, together with electronic copies thereof, 30 days upon receipt of such SALNs, to the Office of the Ombudsman Central office or its respective area or sectoral offices.

3. Certification of Head of Agency/Office. - The list of officials and employees who filed their SALNs (Nos. 1 and 2 hereof), which the Chief/Head of the Personnel/Administrative Division or Unit/FIRMO is required to submit to the Office of the Ombudsman or its respective area or sectoral offices, shall be accompanied by a certification by the head of agency/office concerned that the SALNs submitted electronically are faithful reproductions of the original copies submitted by the officials and employees of the office, using the following format:

Page 4 of 4 Memorandum Circular Additional Guidelines on Submission of SALNs

CERTrFICATION

I , (name of agency head), hereby certify that the SALNs herewith submitted electronically are faithful reproductions of the original SALNs of the officials and employees of the (name of agency), as listed in the attached summary report of the (personnel officer/chief of administrative division/person designated).

Signature (of agency head) Printed Name Position Date

SUBSCRIBED AND SWORN TO before me this day of . 20 , affiant exhibiting his/her competent evidence of identity, to wit:

Administering Officer

4. Format of SALN. - The electronic copies of the SALNs must be in PDF format and individually saved per declarant, in compact discs (CD) or Universal Serial Bus (USB) flash drive, using the file name prescribed in No. 5 hereof

5. File Name. -The file name of the soft copy must be the same as the .document title. Example;

Document File Name SALN of Employee A SALN of Employee A.pdf

6. Duty of Head of Agency/Office. - Heads of agencies/offices shall ensure the proper dissemination of this Memorandum Circular for the information of-their employees and officials and the proper -implementation of these additional guidelines.

All previous issuances inconsistent herewith are deemed superseded or modified accordingly.

This Memorandum Circular shall take effect after fifteen (15) calendar days following the completion of its publication in a newspaper of general circulation.

Quezon City, Philippines, 02 August 2017.

FILED WrrH THE UNIVERSITY OF THE PHILIPPINES LAW CENTER ON

AUGUST 11, 2017

PUBLISHED IN A NEWSPAPER MANILA TIMES ON SEPTEMBER 12, 2Q17

CONTHlTACAmTO MOKALES Ombudsman

Revised as of J anua ry 2 0 1 5 Per C S C Resolution No. 1500088 Promulgated on Janua ry 23 , 201£

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH ! As of I

(Required by R.A. 6713) i

Note: Husband and unfe who are both public officials and employees may file the require statements jointly or separately. • Joint Filing • Separate Filing • Not Applicable

DECLARANT:

ADDRESS:

SPOUSE:

(Family Name) (First Name) (M.L)

(Family Name) (First Name) (M.I.)

POSITION: AGENCY/OFFICE: OFF ICE ADDRESS:

POSITION: AGENCY/OFFICE: O F F I C E ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN <18) YEARS OF AGE LIVING IN DECLARANT*S HOUSEHOLD

NAME DATE OF BIRTH AGE

ASSETS, LIABILITIES AND NETWORTH (Including those of the spouse and unmarried children below eighteen (18)

years of age living in declarant's household) 1. ASSETS

a. Real Properties*

D E S C R I P T K (e g. kit, lifiuse . id lot, OTudominnim

aud iniprowenu; itsj LOCATION

ASSESSED VALUE

CURRENT FAIR MARKET VALUE

in Ihr TiK Declaraiiou ol Real |pLo{ici.i}-)

ACQUISITION

YEAR MODE

ACQUISITION COST

b. Personal Propertiets* Subtotal:

ACQUISITION COST/AMOUNT

YEAR ACQUIRED ACQUISITION COST/AMOUNT

* Additional sheet/ s may be used, if necessary.

Page 1 of

Subtotal:

TOTAL ASSETS (a+b):

2 . LIABILITIES* ^SuTSTANDING B A L A N C E

TOTAL LIABILITIES: NET WORTH : Total Assets less Total LiabUities =

* Additional sheet/s may be used, if necessary.

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS (of Declarant/Declarant's spouse/ Unmarried Children Below Eighteen (18) years of Age Lining in Declarant's Household)

• 7/ We do not have any business interest or financial connection.

N A M E O F E N T I T Y / B U S I N E S S ] B U S I N F ^ S S A D D R E S S E N T E R P R I S E 1

N A T U R E O F B U S I N E S S I N T E R E S T 8B/OR F I N A N C I A L

C O N N E C T I O N

D A T E O F A C Q U I S I T I O N O F I N T E R E S T O R C O N N E C T I O N

RELATIVES IN THE GOVERNMENT SERVICE (WUhin the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and tiso)

• // We do not know of any relative/s in the government service)

Sra<ATIOHSBXP ^ S A M S QTAJBiBmsiomcM Am mmsmi

I hereby certify that 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 in my household, and that to the best of my knowledge, the above-enumerated are names of my relatives in the government within the fourth civil degree of consanguinity or affinity.

I hereby authorize the Ombudsman or his/her duly authorized 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 household covering previous years to include the year 1 first assumed office in government. ,

Date:

(Signature of Declarant) (Signature of Co-Dedarant/Spouse)

Government Issued ID: ID No.: Date Issued:

Government Issued ID: ID No.: Date Issued:

SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated government issued identification card.

(Person Administering Oath) Page 2 of

Revised as of J a n u a i y 2 0 1 5 . , , Per C S C Resolution No. 1500088

' , ' ' . " Piomulgated on January 23 , 2 0 1 '

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH As of

(Sample additional sheet/s for the exclusive properties of the declarant's spouse and unmarried children below eighteen (18) years of age living in declarant's household)

NAME: POSITION: (Family Name) (First Name) (M.I.) AGENCY/OFFICE:

ASSETS, LIABILITIES AND NET WORTH 1. ASSETS

a. Real Properties . . . . .

DESCRIPTION \c g lot, houw i in l lot, COIuUjlBUUlUll

and unproveuieiiis)

^ • ' ' - - - - - (

KIND EXACT (eg. usulcr^uai. | LOCATION

ASSESSED VALUE

CURRENT FAIR MARKET VALUE

ACQUISITION ACQUISITION COST

. . . . .

DESCRIPTION \c g lot, houw i in l lot, COIuUjlBUUlUll

and unproveuieiiis) (As toxmd in llusTiix DeclaiatiDii of Real Pmprrty) YEAR MODE

ACQUISITION COST

I

2 . LIABILITIES

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

^srMi&W'ENTrrYTBUs^ A O O R E S S NATURE OP B U S I N E S S INTEREST &/OR FINANCIAL

'̂ DATE O F A ^ H i r o ^ ^ ^ INTEREST OR CONNECTION i

Page of

Revised as of J anua ry 2 0 1 5 Per C S C Resolution No. 1500088 Promulgated on J a n u a i y 23 , 201J

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH As of

(Sample additional sheet/s for the declarant)

N A M E :

(Family Name) (First Name) (M.I.) P O S I T I O N :

A G E N C Y / O F F I C E :

ASSETS. LIABILITIES AND NET WORTH

1. ASSETS a. Real Properties

(e.g. Jot, bouse tsoM lot, condomuuuta.;'

aud impiovqments),

^^^^SUKKKK^m^' E X A C T

' t Ye V iWH&ra^ l ^B I ^ P ' ^ ' - ' L O C A T I O N

A S S E S S E D

V A L U E

C U R R E N T F A I R

M A R K E T V A L U E

A C Q U I S I T I O N A C Q U I S I T I O N

C O S T (e.g. Jot, bouse tsoM lot, condomuuuta.;'

aud impiovqments), cominf rciai, mausmai, cigmnilniral .jud jjiixcci (Atj loiviid u i the Tiw Ueclaiation of

l?tali>K>pcrty) Y E A R M O D E

A C Q U I S I T I O N

C O S T

i

i 1

b. Personal Properties Subtotal:

^'WCS^OMm COST/AMOUNT

Subtotal: TOTAL ASSETS (a+b):

2 . LIABILITIES

N A T U R E ^ N A M E O F C R E D I T O R S O U T S T A N D I N G B A L A N C E

TOTAL LIABILITIES:

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

N A M E O F E N T I T Y / B U S I N E S S E N T E R P R I S E

B U S I N E S S A D D R E S S ^ ^ W ^ A T U R B O P B U S I N E S S I N T E R E S T & / O R F I N A N C I A L

' D A T E O F A C Q U I S I T I O N O F I N T E R E S T O R C O N N E C T I O N

Page _ of