NOMINATION FORM AFR 04 2016 Date DIRECTOR NELSON G. SARMIENTO Director 1V Civil Service Commission-RO1 San Fernando City, 2500 La Union : Sir: We are pleased to confirm the participation/attendance of the following officials and employees of this Office to the “21** Regional Continuing Professional Education for Human Resource Management Practitioners” on April 19-21, 2016 at Phi-Phi Beach Resorts and Hotel, Panibatuhan, Poblacion, Morong, Bataan. ~~ Nickname Position . Efren 8. Domagas | EFREN General Manager C 2. Aima S. Mendoza | ALMASUE Division Manager C 3. Roslinie E. Badron | ROSS Utilities / Customer Service | Assistant E s_/ General Manager C Printed Name/Position/Designation & Signature ofHead of Agency APR 04 2016 URDANETA CITY WATER DISTRICT 0925-8734260 / 075-653-0486 Name of Agency Telephone/Contact Number Registration and Payment Details > Confirmation should be made on or before April 13, 2016; > Nomination Form may be faxed at (072) 700-5626 or email at hrdcscregion1@amail.com; > Check payments should be made payable to the Civil Service Commission — Region 1; > We will make payments 1 To your CSC Field Office 0 To your CSC Regional Office OD Will deposit to your bank account no. 0202-0010-92 ‘Noman Fem CNRE Tig