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The document is a sworn statement of assets, liabilities, and net worth for Ali Hasan M. as of December 31, 2024, required by R.A. 6713. It indicates that the declarant has total assets of 81,000.00, no liabilities, and a net worth of 81,000.00, with no business interests or relatives in government service listed. The document is certified as true and correct and includes a signature and government-issued ID information.

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Ali Hasanie
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26 views

SAuyh

The document is a sworn statement of assets, liabilities, and net worth for Ali Hasan M. as of December 31, 2024, required by R.A. 6713. It indicates that the declarant has total assets of 81,000.00, no liabilities, and a net worth of 81,000.00, with no business interests or relatives in government service listed. The document is certified as true and correct and includes a signature and government-issued ID information.

Uploaded by

Ali Hasanie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Revised as of January 2015

Per CSC Resolution No. 1500088


Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of December 31, 2024
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
 Joint Filing  Separate Filing  Not Applicable

DECLARANT POSITION: PROJECT DEVELOPMENT OFFICER


: ALI HASANIE M. II
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DSWD FIELD OFFICE X
ADDRESS: OFFICE ADDRESS: MASTERSON AVENUE, UPPER
ALI ST., PAGAYONAN, MADAMBA, LANAO DEL SUR
CARMEN, CAGAYAN DE ORO CITY

SPOUSE: NONE NONE NONE POSITION: NONE


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S


HOUSEHOLD

NAME DATE OF BIRTH AGE


NONE NONE NONE

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*

DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


N (e.g. residential, LOCATION VALUE MARKET COST
commercial,
(e.g. lot, house and industrial, agricultural VALUE
lot, condominium and mixed use) (As found in the Tax Declaration of
and improvements)
Real Property)
YEAR MODE

NONE NONE NONE NONE NONE NONE NONE NONE


Subtotal: NONE
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

CELLULAR PHONE (IPHONE) 2020 76,000.00


SAMSUNG WATCH 2024 5,000.00
Subtotal : 81, 000.00

TOTAL ASSETS (a+b): 81, 000.00


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

Page 1 of ___
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING


BALANCE

NONE NONE NONE


TOTAL LIABILITIES: NONE
NET WORTH : Total Assets less Total Liabilities = 81, 000.00
* 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 Living in Declarant’s Household)

 I/We do not have any business interest or financial connection .

NAME OF BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
NONE NONE NONE NONE

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)

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


NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND
ADDRESS
ROMEO A. ALI FATHER MUNICIPAL ACCOUNTANT LGU-MADAMBA

NORHAYA A. MINDALANO MOTHER TEACHER 1 DEPARTMENT OF EDUCATION-


BARMM
FATIMA-AISAH A. SISTER TEACHER 1 DEPARTMENT OF EDUCATION-
MINDALANO BARMM

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 I first assumed office in government.

Date: December 31, 2024


NONE
(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC I.D Government Issued ID: NONE


ID No.: 0027962 ID No.: NONE
Date Issued: October 2017 Date Issued: NONE

SUBSCRIBED AND SWORN to before me this 3rd day of November, affiant exhibiting to me the above-
stated government issued identification card.

_______________________________________
(Person Administering Oath)

Page 2 of ___

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