IV. CIVIL SERVICE ELIGIBILITY

CAREER SERVICE/ RA 1080 (BOARD/ BAR) LICENSE (if applicable)

27. DATE OF

UNDER SPECIAL LAWS/ CES/ CSEE RATING

EXAMINATION / PLACE OF EXAMINATION / CONFERMENT

BARANGAY ELIGIBILITY / (If Applicable) Date of

NUMBER

CONFERMENT

DRIVER'S LICENSE Validity

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE

(Include private employment. Start from your recent work) Description of duties should be indicated in the attached W

GOV'T

SERVICE

SALARY/ JOB/

INCLUSIVE DATES DEPARTMENT / AGENCY / OFFICE /

28.

POSITION TITLE PAY GRADE (if

(mm/dd/yyyy) COMPANY MONTHLY STATUS OF

applicable)&

(Write in full/Do not SALARY APPOINTMENT

STEP (Format

(Write in full/Do not abbreviate) "00-0")/

abbreviate)

From To INCREMENT

(Y/ N)

(Continue on separate sheet if necessary)

SIGNATURE DATE

CS FORM 212 (Revised 2017), Page 2 of 4

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZA

INCLUSIVE DATES

NAME & ADDRESS OF ORGANIZATION

29. NUMBER OF

POSITION / NATURE OF WORK

(Write in full) HOURS

(mm/dd/yyyy)

From To

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED

(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division

Chief/Executive/Managerial positions) INCLUSIVE DATES OF

Type of LD

TITLE OF LEARNING AND DEVELOPMENT ATTENDANCE

30. CONDUCTED/ SPONSORED BY

( Managerial/

NUMBER OF

INTERVENTIONS/TRAINING PROGRAMS

(Write in full)

Supervisory/

HOURS

(mm/dd/yyyy)

(Write in full) From To Technical/etc)

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN

NON-ACADEMIC DISTINCTIONS / RECOGNITION

ASSOCIATION/ORGANIZATION

31. SPECIAL SKILLS and HOBBIES 33.

(Write in full)

(Write in full)

(Continue on separate sheet if necessary)

SIGNATURE DATE

CS FORM 212 (Revised 2017), Page 3 of 4

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