GSIS FORMS
Type                               Form Details
FORM A   New/re-employed/re-instated
         transferred in (member transferred to your agency) and/or
FORM B
         transferred out (member was transferred to another agency)
         updating of salary (salary increase, step increment, promotion,
FORM C   etc.), employment status, employee position, correction of date of
         effectivity.
         for separation tag (resigned, retired, end of term, dismissed, etc.),
FORM D
         LWOP, suspended
         for updating of personal profile (name, civil status, contact details,
         etc.)
FORM E
RMS
                        Requirements
      Form A and copy of appointment
      Form B and copy of appointment
      Form C and copy of NOSI/appointment
      Form D and death certificate/approved s.o./approved
      dismissal etc.
      Form E and Colored Scanned Copy of PSA Marriage
      Certificate
      for change of name and civil status/
      Scanned Copy of PSA Birth Certificate for correction
      of name/birthday, for separated/married to single
      status requests copy of court decision/civil service
      S.O.
                                   GSIS FORM C
                                    Request for Salary Adjustment
 Level                                      SECONDARY
 School/District                            BUCANA BUNGLAS NATIONAL HIGH SCHOOL, AJUY
 GSIS BP Number                             2003899041
 Last Name                                  BALBAGUIO
 First Name                                 LOWIE
 Middle Initial                             B
 Suffix                                     N/A
 Date of Birth (mm/dd/yyyy)                 01/20/1978
 Mobile Number                              9638688154
 Email Address                              juan.delacruz@mail.com
 Basic Monthly Salary                       23877
 Salary Grade                               14
 Step                                       1
 Effectivity Date                           06/16/2022
 Position                                   HEAD TEACHER I
 Status of Employment                       PERMANENT
 Reason                                     SALARY ADJUSTMENT DUE TO PROMOTION
 Remarks
   Note: Please attach copy of Approved NOSI for Step Increment/Appointment for Promotion
I hereby declare that the details furnished above are true and correct to the best of my knowledge and
belief and I undertake to inform you of any changes therein, immediately.
                                        LOWIE B. BALBAGUIO
                                     Signature over printed name