Personal Data Sheet Template Page 2
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4IV. CIVIL SERVICE ELIGIBILITY
LICENSE (if applicable)
27.
CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER
DATE OF
RATING
SPECIAL LAWS/ CES/ CSEE
EXAMINATION /
PLACE OF EXAMINATION / CONFERMENT
Date of
(If Applicable)
NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE
CONFERMENT
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 Work Experience sheet.
SALARY/ JOB/ PAY
INCLUSIVE DATES
28.
GOV'T
GRADE (if
POSITION TITLE
DEPARTMENT / AGENCY / OFFICE / COMPANY
(mm/dd/yyyy)
MONTHLY
STATUS OF
SERVICE
applicable)& STEP
(Write in full/Do not abbreviate)
(Write in full/Do not abbreviate)
SALARY
APPOINTMENT
(Format "00-0")/
(Y/ N)
From
To
INCREMENT
(Continue on separate sheet if necessary)
SIGNATURE
DATE
CS FORM 212 (Revised 2017), Page 2 of 4
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