ࡱ>      \pCivil Service Com Ba==%8X@"1Arial1Arial1Arial1Arial1xArial1Arial1Arial1Arial1Arial1Arial1( Book Antiqua1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1" Wingdings1Arial1Arial1Arial1Arial1Arial1Arial1( Book Antiqua1Arial1Arial1Arial1Arial1Arial1Arial1Arial1( Book Antiqua1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1 Arial1$Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                + ) , * 1 0   h  h &x "x  h@@  h  x  &x   h  &x   h  !x@  x  x  &x &x  h@  h   h  h  h  h      h@ @   h  h   h !x "x  h  h@  h @ &x@ !x &x &x &x  h@ "x@  h@ "x &x@ &x  h &x@ &x  h  h  h &x @ x@  h@  h@ &x@ &x @  h @  h@@  h@  h @  h  h  h  h  h@  h  h  h@  h  h &x  h  h@ &x  h  h  h !x  h  h  h0 "x   "x@  (    (  x  h@@  h@  h @  (`  h  H    (   h@     h@  (   (@     ( &x  (f@@    x   h@@   h@  h@ % h " h@ !xf@@  "xf@ "xf@  &x  "x        h@@  h@  h @  h  x  h@  h  h & h & ( &    & H & (f@ & (`f @   (`   (@  (`   (`@   (`   (`` "x@ &x  !x )0 "x "x@@ *x  "8@  "8  "8  h@  hf@  (`f @  (@  ( " h "x  "x   ( "x  x    x "x "x "x ' h@@ ) h@ "x@  (f@  (`f @  (    (`  (  (@ !8  (`@  (`  (`` "x`f @ "x@  (f@@  h`f @ $ h`  h@@  (`  h`  h@ !x@  (`@  (`  (`` "x@ @ "x@ "x @ *x@ "x@  (@  h  h  (  (@ #8@  (  #8@ &x@ &x@ &x@@ !x@ !x !x  x  x !x *x 2x -  "x  h@  h@  h@  h@ 2x  0  0`  0``  "8  h &x@  h@  h  h  h@ x @ x@  h @  (@  (  @ x@ @  `  ``   (f@@  h`  (f@  (`f @    h@ , h@ ,   f@  `f @  (f@@  (@ *x   (   h@@ "x@ "x @ *x@@ *x@ *x@ !x  ! -" "x@  "x "x@@  x@  x @  "8@  "8  "8 "x@ "x "x  "x@  "x  "x "x@ "x "x "x@ "x "x + x@@ *0@ *0 @ "x "x *x` @ *x`@ *x` *x``  *x "  *x *  "x x@ x @ "x  "x@ "x@ "x "x  !x *x@@ *x@ *x @  "x 9Zx@ @ 9Z0@ 9Z0@ !x  !x @  !x "x@ "x@@ "x@ "x @ "x x@@ x@ x @ "x@ "x ,"8` ,"x`@ ,"x` ,"x@ ,"x ,!x 9Z0@ 9Z0@ 1x@@ 1x@ 1x` @ 1x@ 1x 1x`@ 1x`  83ffff̙3f3fff3f3f33333f33333\``Sheet1ôSheet2Sheet3ZRH3  @@  K - Please see Back Page for Other Important Examination Information -(!1-THIS FORM IS NOT FOR SALECIVIL SERVICE COMMISSIONREPRODUCTION IS ALLOWED Education! Place of Examination DECLARATION:T____________________________________________________________________________________FROM Course/Degree/1. APPLICANT'S NAME (PRINT IN CAPITAL LETTERS) A IMPORTANT >4. COMPLETE MAILING ADDRESS  9. BIRTHDATE: $12. HIGHEST EDUCATIONAL ATTAINMENT:  R14. CIVIL SERVICE/BOARD/BAR/EXAMINATIONS PASSED (Use separate sheet if necessary) 01"Region: _________________ 1. This Application Receipt * 2. One [1] blue or black ballpen $ 3. Lead pencil/s no. 2 and eraser/s' BRING THE FOLLOWING ON EXAMINATION DAYTOf[READ THE EXAMINATION ANNOUNCEMENT. DO NOT APPLY IF YOU ARE NOT QUALIFIED]Level/Units EarnedInclusive Years Of AttendanceHighest Grade/Year/ TITLE OF EXAMINATION APPLIED FORPassport Size Photo w/ Name Tag Recently taken (Full Name) [1 1/2" x 2"], (City / Town / Province) (taken within 3 mos), Printed Name and Signature of Processor 5. CIVIL STATUS: _______________ _ Republic of the Philippines ( _______________________0 Signature of Applicant Right ThumbmarkH DATE _____________ _________________________________ OFFICE/POSITIONVTIME: ___________________ Printed Name of Processor: _________________________  9#5( Do not fill-up this portion. For Processor/s only) (4'6ACTION TAKEN: APPROVED [ ] DISAPPROVED [ ] ^WARNING: Impersonation, cheating and other forms of examination irregularity would lead to/regulations of the Republic of the Philippines.OTHER INFORMATION:Area or Regiona)b)c)Preferred Salary:A 4. Valid I.D. Card with photo, signature, birthdate ( if7 available), and signature of authorized head of agency3 (Office/School/Postal ID/Passport/License/BIR/SSS) FEE AND SLOT. * NO I.D., NO EXAM. =* DO NOT bring cellular phones & other materials outside @ of those above-listed, otherwise, they will be confiscated%? by the Security Officers. The Commission will not be liable- for the loss or damage of said belongings. Level of  (Write in full)HYES [ ] NO [ ] If YES, attach copy/ies of decisions.&*)picture not accepted Scanned/Digitally-Imaged/PhotocopiedIAre you a member of any indigenous group? YES [ ] NO [ ]<Are you differently abled? YES [ ] NO [ ]V2. Are you willing to work in the Government? YES [ ] NO [ ]93. If YES, list three (3) preferred Government Agencies: % 4. Preferred Position:If YES, please specify: % (For Married Women)(FIRST NAME) (MIDDLE NAME) (LAST NAME)Honors ReceivedAcademic1 ADMINISTERING OFFICER@ (Signature above Printed Name)] Applicant's Printed Name: _____________________________________________________(? Birthdate: _____________________________________( Sex: _________________________` Signature: _______________________________________________________________________n dismissal from government service, perpetual disqualification from taking civil d service examinations and from entering government service and/or imprisonment. i13. PRESENT EMPLOYMENT o Government o Private 02 JK AGENCY/OFFICE/ADDRESS"STATUS OF APPOINTMENT/ EMPLOYMENT(LENGTH OF EXPERIENCE IN PRESENT POSITION POSITION K WEEK BEFORE THE EXAMINATION, PLEASE VISIT OR CALL THE M IF YOU FAIL TO RECEIVE YOUR NOTICE OF ASSIGNMENT ONE [1] ! (Signature over Printed Name)? APPLICANT"HEAD OF AGENCY/AUTHORIZED OFFICIAL(Signature over Printed Name)%_____________________________________| rating employees' performance based on duly approved performance targets; & supervising the unit/division based on the managerial functions (i.e. directing & approving work outputs of employees; delegating functions to the staff; monitoring &,{ staffing pattern/organizational structure), and supervising/managing _____________ staff for ____________ years now.,0>TO BE FILLED-UP BY THE HEAD OF THE AGENCY/AUTHORIZED OFFICIAL aNote : For those occupying SG 18 - 21, if in government, and those in the private sectors only/| This is to certify that Mr./Ms. ____________________________ of this Agency/Office has been performing supervisory/4 _____________________________________________% NAME and ADDRESS OF AGENCY/OFFICED REGIONAL OFFICE WHERE YOU FILED YOUR APPLICATION TO INQUIRE @ SCHEDULED EXAMINATION WILL MEAN FORFEITURE OF EXAMINATION' the following items:y1. Pursuant to (a) Indigenous People's Act (RA 8371); and (b) Magna Carta for Disabled Persons (RA 7277), please answer ,5;,il If YES, what Review Center? __________________________________________________________________________ OPLACE: ___________________________ Date Received/Processed: ________________%] A P P L I C A T I O N R E C E I P T Application No. ____________AJReceived the application for the: CAREER EXECUTIVE OFFICER EXAMINATION #$2H APPLICATION NO. ________ (LAST NAME)Date: ____________________________ O.R. No. ________________________ Amount: __________________________ ____________________________________ Printed Name and Signature of Collecting Officer (/KRx.Date: ____________________________ O.R. No. ________________________ Amount: __________________________ ______________________________________ Printed Name and Signature of Collecting Officer (/KRy. examination<?information supplied yield information contrary to what is declared, my application shall be disapproved and my payment forfeited. I declare under oath that this application has been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and are statistically improbable. I likewise agree that I will subject myself to a validating examination in case the test results in my place of examination ! (number of years)# (number of staff)T none 1 2 3 4 5 more than 5 ]the acceptance of my application for the examination is based on the abovecited declaration.8the filing of administrative/criminal case/s against me. I therefore agree that in case my application is approved based on the declarations made and should a post verification of the I declare that the abovementioned information are true and correct to the best of my knowledge and belief. I understand that In addition, I agree that any misrepresentation made in this document may cause the invalidation of the result of this examination and/or15. Have you ever been dismissed from the service for cause, or found guilty of crime involving moral turpitude, or of infamous, disgraceful  or immoral conduct, drunkenness or addiction to drugs, or of offense relative to or in connection with the conduct of a civil service -(MIDDLE NAME) (M.I.)/ CAREER EXECUTIVE OFFICER EXAMINATION (CEOE) -  DATE OF EXAM: PLACE OF EXAM:  Tel. No.: _______________  Zip Code O16. Have you passed the same examination? YES [ ] NO [ ]11. How many subordinates/staff do you supervise?t3. Have you attended review classes in preparation for the examination? _________________________________________j2. Reasons for taking the CEOE: _______________________________________________________________________ CS FORM No. 100-C (Revised 2007)6 ( mm / dd / yyyy )P Subscribed and sworn to before me this ________ day of __________________ 2007.C ABOUT YOUR SCHOOL ASSIGNMENT. FOR NCR APPLICANTS, PLEASE '(@ VISIT OUR WEBSITE: www.csc.gov.ph. FAILURE TO COME ON YOUR)i3. APPLICANT'S MAIDEN NAME: _________________________ __________________________ ____________________I10. BIRTHPLACE : ______________________ 11. CITIZENSHIP: ____________ + .0 <l__________________ __________________________ _____ ______________________ _______ 2. AGE: ____________`B6. SEX:Male Female 7.HEIGHT(m.) _____8.WEIGHT(kg)_____   (. :Cell. No.: ______________(Or Write Graduated)NOTE: THOSE WHO HAVE ALREADY TAKEN AND FAILED BOTH THE JULY 17, 2005 CSEE/MATB AND THE JUNE 25, 2006 CEOE WILL ONLY BE QUALIFIED TO TAKE THE CEOE IN 2009.Email add:_______________+ ( yyyy mm dd) ? (FIRST NAME) Name Extension,e.g. Jr., Sr., III)Name of School Attended and School Address%presented at the time of application.6 * This should be the same with the ID card Date of ExamRatingG Done this __________ day of _______________________, 2007. 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% > %6 ( mm / dd / yyyy )  %###kn@f[READ THE EXAMINATION ANNOUNCEMENT. DO NOT APPLY IF YOU ARE NOT QUALIFIED]AAAAAAA  PLACE OF EXAM: $ &&&}EEEEEk8 ,,,((,,,,,,,,,,,,,,,,,,(@ )/1. APPLICANT'S NAME (PRINT IN CAPITAL LETTERS) 6 vv((((((((((((((((((w )l__________________ __________________________ _____ ______________________ _______ 2. AGE: ____________`6 //((((((((((((((((()-" / (LAST NAME) ((/G B? (FIRST NAME) Name Extension,e.g. Jr., Sr., III) BBBB5 /-(MIDDLE NAME) (M.I.)$ ////(/(((((((q )i3. APPLICANT'S MAIDEN NAME: _________________________ __________________________ ____________________6 0/)--/% (For Married Women)(/////(FIRST NAME) (MIDDLE NAME) (LAST NAME)*///////0///(((((())4. COMPLETE MAILING ADDRESS   Zip Code  ....#) Tel. No.: _______________)-\T____________________________________________________________________________________$)||#)Cell. No.: ______________)-/) 5. CIVIL STATUS: _______________  Y)B6. SEX:Male Female 7.HEIGHT(m.) _____8.WEIGHT(kg)_____   (. :))-)-)-!)Email add:_______________)--8))))-) 9. BIRTHDATE: `)I10. BIRTHPLACE : ______________________ 11. CITIZENSHIP: ____________ + .0 <*))- /3/+ ( yyyy mm dd) ((004/, (City / Town / Province)& 0k1)$12. HIGHEST EDUCATIONAL ATTAINMENT:  6111111112333344t Level of # Course/DegreeHighest Grade/Year/ Name of School Attended  Inclusive Years #Academic4t Education] (Write in full)YYY^Level/Units EarnedYand School Address YYYY?8 Of Attendance 889Honors Receivedcc4tiU8889=(Or Write Graduated)33333 FROM CTODAAD44t8<33::7:3X;::;44t8=>???A@BAAA?AABDAAD44t~)i13. PRESENT EMPLOYMENT o Government o Private 02 JK 6FFGGGZAGENCY/OFFICE/ADDRESS[[[[\OGPOSITION LEVEL/ SALARY GRADE RANK(for PNP/AFP)I POSITION CH 0 5(LENGTH OF EXPERIENCE IN PRESENT POSITION6667*"STATUS OF APPOINTMENT/ EMPLOYMENTCHH44t8E44t8444444444444444444444444tc)R14. CIVIL SERVICE/BOARD/BAR/EXAMINATIONS PASSED (Use separate sheet if necessary) 01"6000&&&&00000kDl<<<~ <o<<;<< T0@!b"b#e@$@%@&@'b(-@b )*b@b+@,@b-0@.i@b/@0@@T1@2b@3<0@4@50@b6-@@7@8@9@@b:@;-@<=>bO?<@b  VRating WWX  K Date of Exam LLLLM) K! Place of Examination KKKNk8!NKKLLLMKKKKNk8"NKKLLLMKKKKNk8#OPPPPPPOPPQPPPPPPOPPPQk$)15. Have you ever been dismissed from the service for cause, or found guilty of crime involving moral turpitude, or of infamous, disgraceful 6$RRRRRRRRRRRRRRRRRRRRRRR{%X or immoral conduct, drunkenness or addiction to drugs, or of offense relative to or in connection with the conduct of a civil service 6%RRRRRRRRRRRRRRRRRRRRRRR{&X examination? &RXU&XHYES [ ] NO [ ] If YES, attach copy/ies of decisions.&*)0&XRRRRRRRRRRRRRRRRRRR{\')O16. Have you passed the same examination? YES [ ] NO [ ]'RR444*'RX444444444444444t8(SSSSSSSSSSSSSSSSSSSSSS44t) I declare under oath that this application has been accomplished by me in good faith, verified by me and to the best of my 6)XXXXXXXXXXXXXXXXXXXXXUUh*knowledge and belief is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and 6*XXXXXXXXXXXXXXXXXXXXXUUh7+/regulations of the Republic of the Philippines.6+XXXXXXXXXXXXXXXXXXXXXUUh, I likewise agree that I will subject myself to a validating examination in case the test results in my place of examination 6,XXXXXXXXXXXXXXXXXXXXXUUh%-are statistically improbable.6-XXXXXXXXXXXXXXXXXXXXXUUh>.UUUUUUUUUnooooopU$$$%U/ODate: ____________________________ O.R. No. ________________________ Amount: __________________________ (/KR&/UUUUUUUUVUUUUUWU/)Recently taken/***+U0PUUUU00U( _______________________0UUUVUUUUUWU0,Passport Size Photo0---.U1PUUUU81T0 Signature of Applicant1TUUVUUUUUWU1) w/ Name Tag 1***+U(2PUUUUUUUUVUUUUUWU2& (Full Name)2'''(U>3PUUUUUUUUYZZZZZ[U&'''(U4PU\:::::]!4 ] Right Thumbmark4 ]R4RRRR4 [1 1/2" x 2"]44(5PXXXXXXXXXXXXXXX!5" (taken within 3 mos)5##$U###>6PUUUUUUUUUUUUUUUU##$U 7PU[7TP Subscribed and sworn to before me this ________ day of __________________ 2007."7RRRR44444444447! Scanned/Digitally-700014(8P48/Imaged/Photocopied800014 9P499R1 ADMINISTERING OFFICER9RRRRRR9 ] OFFICE/POSITION9 R]]RRRR92picture not accepted93334UUh:PH:S@ (Signature above Printed Name)4:TTTTTTT_````````abbbUUh8;P4UUUUUUUUUUUUUUUUUUUUUh <P4B<5( Do not fill-up this portion. For Processor/s only) (4'2<^^^^5555555555555564h =P4A=6ACTION TAKEN: APPROVED [ ] DISAPPROVED [ ] =RRcc4P=RH DATE _____________ _________________________________&= RRRR44444444d4h >Q4JBBBBBBBBBB 4> e, Printed Name and Signature of Processor>BeeZZZZ[UUh8?ffffffffffffffffffffffUUhDql<<<<ucBxaBoBh<|@$KT0@A$Kb@B$bC$eD$@E$F$-@G$b@H$bI$@J$,b@bK$@L$@bM$0@ N$@bO$@P$@@T Q$Z@R$b@S$0@T$@U$0@bV$@@W$@X$@Y$@@b Z$J[$;@\$;@]$;@^$wb@O_$,@b8@UUUUUUUUUUUUUUUUUUUUUUUUhAODate: ____________________________ O.R. No. ________________________ Amount: __________________________ (/KR6AUUUUUU::&&&&&&g$$$% BPhB)] A P P L I C A T I O N R E C E I P T Application No. ____________A"B&&&&&&&gB)Recently takenB***+UU0 CPYCJReceived the application for the: CAREER EXECUTIVE OFFICER EXAMINATION #$2H"C))))-C,Passport Size PhotoC---.k(DP 89 9+D) w/ Name Tag D***+k EP+eE+VTIME: ___________________ Printed Name of Processor: _________________________  9#"E++++++++++++++E& (Full Name)E'''(k8FP++++++++++++++++&'''(k GP\GODATE: _____________________ Signature of Processor: _____________________ "&GkG [1 1/2" x 2"]Gk HP\HOPLACE: ___________________________ Date Received/Processed: ________________%"Hk!H" (taken within 3 mos)H##$mUh8IPUUUUUUUUhUUUUUUU##$#kJehJ] Applicant's Printed Name: _____________________________________________________($J'J! Scanned/Digitally-J0001#kKeJK? Birthdate: _____________________________________K''3K( Sex: _________________________KK/Imaged/PhotocopiedK0001(LekL` Signature: _______________________________________________________________________$L(LGpicture not acceptedLHHHI((8MP((((((((((r NeiNg^WARNING: Impersonation, cheating and other forms of examination irregularity would lead toFNhhhhhhhhhhhhhhhhi# OevOjn dismissal from government service, perpetual disqualification from taking civil FOkkkkkkkkkkkkkkkk# PflPld service examinations and from entering government service and/or imprisonment. FPmmmmmmmmmmmmmmmm#8QR4*****************RRu44t RR4XRK - Please see Back Page for Other Important Examination Information -(!1-XR K - Please see Back Page for Other Important Examination Information -(!1-0R                 u44t8SsswRu444444444t8TsswRu444444444t8UsswRu444444444t8VsswRu444444444t8WsswRu444444444t8XsswRu444444444t8YsswRu444444444tZ~ DECLARATION:6Z<[x11. How many subordinates/staff do you supervise?6[tttttttt***q4tt \xt\\T none 1 2 3 4 5 more than 5 2\*q4tt8]xtttttttt***q4ttu^xj2. Reasons for taking the CEOE: _______________________________________________________________________6^||||||||+j**j+++++++q-_xt3. Have you attended review classes in preparation for the examination? _________________________________________6_|||||||||||||||||||||-Dl<P\<<<<<<<<<<<Rz<`,T0@axb@ b@bce@de@fgbh@bi@jb@bk@lbm0@n@bop@Tqx@ r;b@0sJ0@0th@u,0@bv@wxy@@bz@{@|}@~,b@o@b0y`l If YES, what Review Center? __________________________________________________________________________ 6`|||||||||||||||||||||-8a|- bUUhcT I declare that the abovementioned information are true and correct to the best of my knowledge and belief. I understand that 6cXXXXXXXXXXXXXXXXXXXXXUUhedT]the acceptance of my application for the examination is based on the abovecited declaration.6dXXXXXXXXXXXXXXXXXXXXXlUh8eTXXXXXXXXXXXXXXXXXXXXXlhhfT I therefore agree that in case my application is approved based on the declarations made and should a post verification of the6fXXXXXXXXXXXXXXXXXXXXXlhhgTinformation supplied yield information contrary to what is declared, my application shall be disapproved and my payment forfeited.6gXXXXXXXXXXXXXXXXXXXXXhhh8hTXXXXXXXXXXXXXXXXXXXXXhhhiT In addition, I agree that any misrepresentation made in this document may cause the invalidation of the result of this examination and/or6iXXXXXXXXXXXXXXXXXXXXXhhh@jT8the filing of administrative/criminal case/s against me.6jXXXXXXXXXXXXXXXXXXXXXhhh8kTXXXXXXXXXXXXXXXXXXXXXhhhRlTG Done this __________ day of _______________________, 2007. 6lXXXXXXXXXXXXXXXXXXXXXhhh8mTXXXXXXXXXXXXXXXXXXXXXhhh8nXXXXXXXXXXhhhhhhoXXXXXXXXXX Go ? APPLICANT"o hhhtttpXXXXXXXX )p ! (Signature over Printed Name)"p hhh8qFr >TO BE FILLED-UP BY THE HEAD OF THE AGENCY/AUTHORIZED OFFICIAL 6r                     lsaNote : For those occupying SG 18 - 21, if in government, and those in the private sectors only/6st| This is to certify that Mr./Ms. ____________________________ of this Agency/Office has been performing supervisory/6tXXXXXXXXXXXXXXXXXXXX u managerial functions (i.e. directing & approving work outputs of employees; delegating functions to the staff; monitoring &,6uXXXXXXXXXXXXXXXXXXXX v| rating employees' performance based on duly approved performance targets; & supervising the unit/division based on the6vTTTTTT]]TTT]TTTTTX w{ staffing pattern/organizational structure), and supervising/managing _____________ staff for ____________ years now.,06wXXXXXXXXXXXXXXXXXXXX xXXXXXXX+x]# (number of staff)x ]XXX )x ]! (number of years)xXxXXXXX y"yXXXXXXXXXXXXXy z"zXXXXXXXXXXXXXz {"{XXXXXXXXXXXXX{ <|4 _____________________________________________ |XXX-| %_____________________________________$| XXXXXXXXXXX -}b% NAME and ADDRESS OF AGENCY/OFFICE}ccccccXX*} d"HEAD OF AGENCY/AUTHORIZED OFFICIAL$} ddddddddddd ~`aaaaaa%~ _(Signature over Printed Name)$~ __________  Dol<<<~<<<q<BBBm,T0@0,b@be@@@@b@@bK@b@b@@b0@x@b ,@@@T@b@0@ 00b@@bbob~OTHER INFORMATION:6-zy1. Pursuant to (a) Indigenous People's Act (RA 8371); and (b) Magna Carta for Disabled Persons (RA 7277), please answer ,5;,i6jjjjjjjjjjjjjjjjjjjj-! the following items:6jjjjjjjjjjjjjjjjjjjj- a)jQjIAre you a member of any indigenous group? YES [ ] NO [ ]2jjjjjjjjjjjjjjjjjj- j$jIf YES, please specify: 2jjjjj- b)jDj<Are you differently abled? YES [ ] NO [ ]2jjjjjjjjjjjjjjjjjj- j$jIf YES, please specify: 2jjjjj-azV2. Are you willing to work in the Government? YES [ ] NO [ ]6jjj-Jz93. If YES, list three (3) preferred Government Agencies: %   Area or Region-8z- a)6- b)6- c)6-"z4. Preferred Position: Preferred Salary:$ y-8-8-8-8- - -LA IMPORTANT > / ' BRING THE FOLLOWING ON EXAMINATION DAY h '  1. This Application Receipt " RRRRRRRRRRhUM IF YOU FAIL TO RECEIVE YOUR NOTICE OF ASSIGNMENT ONE [1] rrrrrrr 2 * 2. One [1] blue or black ballpen " RRRRRRRRRRXXhSK WEEK BEFORE THE EXAMINATION, PLEASE VISIT OR CALL THE RRRRRRR , $ 3. Lead pencil/s no. 2 and eraser/s" RRRRRRRRRRXXhLD REGIONAL OFFICE WHERE YOU FILED YOUR APPLICATION TO INQUIRE RRRRRRR I A 4. Valid I.D. Card with photo, signature, birthdate ( if" RRRRRRRRRRXXhPC ABOUT YOUR SCHOOL ASSIGNMENT. FOR NCR APPLICANTS, PLEASE '(Rrrr]]R ? R7 available), and signature of authorized head of agency RRRRRRRRRXXhM@ VISIT OUR WEBSITE: www.csc.gov.ph. FAILURE TO COME ON YOUR)RRRRRRR ; R3 (Office/School/Postal ID/Passport/License/BIR/SSS) RRRRRRRRRXXhK@ SCHEDULED EXAMINATION WILL MEAN FORFEITURE OF EXAMINATION'{{{{{{{ > 6 * This should be the same with the ID card RXXh FEE AND SLOT. - %presented at the time of application. XXh '  * NO I.D., NO EXAM.  h J =* DO NOT bring cellular phones & other materials outside " h M @ of those above-listed, otherwise, they will be confiscated%" hD[lX_ll<HHH<<<<ooT0b b G ? by the Security Officers. The Commission will not be liable" h 5 - for the loss or damage of said belongings." h H(}]*.@]*0IM@],1] ^ @],2] ^ @],3] ^ @],4^] H^ @],5] ^ @],6] ^ @], 7] O^ @], 8C  @], 9  @], :  @], ; @],< @],=% @]X?!5> @,׉06]X@U5 @<׉10],D K  @]dCFH< @ ,"JUNE 10, 2007W ]XA5 @׉07]^BD|F @׉7:00 am/],F66 @],GP6 @=%8X> \\\ "    dMbP?_*+%M Kyocera Mita erickdXX0 am/ersdPcK&Ho **$**$o **$**$ 000000004!*4!*2 dd ? ?XX0J,X< XXXXdPcK N&Confidential 1<v"dXX??U =%8X>     dMbP?_*+%"??U =%8X>   Oh+'0 PX INFORMATION TECHNOLOGY DIVISIONMARLONTMicrosoft Excel@"[@6]@7G' P&" WMFCF RrX' EMFr X!" !" !" ! Xx&Xx% 'Xx % 6Ml!??"% 6"Ml"""!??3% 63Ml333!??D% 6DMlDDD!??M% 6MMlMMM!??a% 6aMlaaa!??r% 6rMlrrr!??% 6Ml!??% 6Ml!??% 6Ml!??% 6Ml!??% 6Ml!??% 6Ml!??q% 6qMlqqq!??t% 6tMlttt!??% 6Ml!??% 6Ml!??% 6Ml!?? % 6 Ml   !??% 6Ml!?? ' % Ml!?? % ( &% ' % 6Ml!??% 6Ml!?? Xx% ( &Xx% % 6Ml!??% 6Ml!??   % RLArial% TT !AA LP1   % ( &% 6Ml!??   TT #2AA #LP2   #% 6#Ml###!??   TT 4CAA 4LP3   4% 64Ml444!??   TT <KAA <LFMP4   E% 6EMlEEE!??   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