MAGALLANES NATIONAL HIGH
SCHOOL
ACADEMIC
AWARDEE
ACADEM
IC
AWARDE
E
CS Form No. 212
Revised 2017
Filipino
Dual Citizenship
Male
Female
Single
Married
Widowed
Other/s:
Separate
d
by
birth
by
naturalization
IV.
CIVIL SERVICE ELIGIBILITY
27.
PLACE OF EXAMINATION / CONFERMENT
LICENSE (if applicable)
NUMBER
9/30/2018
CAGAYAN DE ORO
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V.
WORK EXPERIENCE
(Include private employment.
Start from your recent work) Description of duties should be indicated in the attache
28.
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SIGNATURE
DATE
CS FORM 212 (Revised 2017), Page 2 of 4
CAREER SERVICE/ RA 1080 (BOARD/ BAR)
UNDER SPECIAL LAWS/ CES/ CSEE
BARANGAY ELIGIBILITY /
DRIVER'S LICENSE
RATING
(If Applicable)
DATE OF
EXAMINATION /
CONFERMENT
Date of
Validity
LICENSURE EXAMINATION FOR
TEACHER
INCLUSIVE DATES
(mm/dd/yyyy)
POSITION TITLE
(Write in full/Do not abbreviate)
DEPARTMENT / AGENCY / OFFICE /
COMPANY
(Write in full/Do
not abbreviate)
MONTHLY
SALARY
SALARY/ JOB/
PAY GRADE (if
applicable)&
STEP
(Format
"00-0")/
INCREMENT
STATUS OF
APPOINTMENT
GOV'T
SERVICE
(Y/ N)
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
29.
POSITION / NATURE OF WORK
From
To
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VII.
LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
30.
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