OCA Circular No.105 2004 PDF
OCA Circular No.105 2004 PDF
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
02 September 2004.
GUARANTORS' UNDERTAKING
1. NAME: _
POSITION/STATUS OF APPOINTMENT: _
COURT/STATION: _
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHONE NO.: _
2. NAME: _
POSITION/STATUS OF APPOINTMENT: _
COURT/STATION: _
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHONE NO.: _
3. NAME: _
POSITION/STATUS OF APPOINTMENT: _
COURT/STATION: _
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHO}'TE NO.:
4. NAME: -----------_._--------
POSITION/STATUS OF APPOINTMENT: ~ _
COURT/STATION: ----
TELEPHONE NO.: _
HOME ADDRESS: _
TELEPHONE NO./CELL PHONE NO.: _
5. NAME: --------_._-------------
POSITION/STATUS OF APPOINTMENT: ----------
COURT/STATION: -------------------
TELEPHONE NO.: ------------------
HOME ADDRESS: --------------------
TELEPHONE NO./CELL PHONE NO.:
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)
(Witness' Signature over Printed Name) (Witness 'Signature over Printed Name)
2
ACKNOWLEDGMENT
1. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)
2. -------
(Name af Guarantar) (CTC Number) (Place af Issue) (Date af Issue)
3. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)
4. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)
5. -------
(Name afGuarantar) (CTC Number) (Place af Issue) (Date af Issue)
known to Ine to be the same persons who executed the foregoing instrument
consisting of three (3) pages, including this page on which this
Acknowledglnent 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.
NOTARY PUBLIC