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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF BIÑAN CITY
Brgy. Sto. Domingo, City of Biñan, Laguna
Tel. No. 049 – 511-8620

HRD LDNA FORM 2: Learning and Development Needs Assessment Tool for Teachers on
Financial Status

The Department of Education (DepEd) in April 2018 has formalized partnership


with the Government Service Insurance Information System (GSIS) with the aim of
promoting the welfare and improving financial capability of teaching and non-
teaching personnel. This paved way to the GSIS Financial Assistance Loan.
In view of the Division of Biñan City’s efforts to take part in the mission of helping
personnel to be free from the burden of loans and over-borrowing, the Human
Resource Development (HRD) Section of the School Governance and Operations
Division would like to know about the following details included herein. The inputs to be
obtained will be the basis for HRD-related intervention and employees’ welfare
programs.
We request you to answer as honestly as possible so that we can get accurate
data. Your school headand the Coordinator for Learning Advancement and
Development in School (Co-LEAD) will explain to you the directions for accomplishing
the form. Rest assured that all details will be treated with full confidentiality and respect.

Employees’ Code: _____________________________ Date Accomplished:


_________________
School: ________________________________________ Position: ____________________________
Monthly Salary: ________________________________ Net Income:
_________________________

No. Financial institution/entity Total Amount Date of Loan Current


or person you have loans Loaned/Borrowed Termination Balance
with

TOTAL
Do you have other sources of income? If yes, indicate them here.
________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Directions:
1. The Coordinator for Learning Advancement and Development in School (Co-
LEAD) or any other personnel assigned by the school head shall take the lead
in accomplishing this survey form.
2. The Co-LEAD prepares a list of all the school personnel in excel format,
bearing the school header. The format should have three columns for the
Names (last names first), Code (school ID-001 for the first on the list, and so
on), and position.
3. All teachers should accomplish everything in the form except the code which
the Co-LEAD will provide prior to distribution. Names of banks and other
lending agencies need to be specified. If the loan is borrowed from a person,
indicate ‘personal’. Current balance need not be based on the statement of
account as this may be computed by multiplying the monthly deduction to
the number of remaining months to pay.
4. Other sources of income may include business, tutorial and other income-
generating sidelines.
5. The Co-LEAD shall consolidate the report in four columns in excel format:
number, code, position, and total loaned amount. The hard copy of
individual forms need to be attached and submitted to the SGOD Office on
or before May 4, 2018. Soft copy needs to be sent to
depedbinan.hrd@gmail.com
6. The school head ensures that all employees have complied, signs the
summary and submits the hard copy at the Division Office.

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