Annex

4 Republic of the Philippines

Commission on Audit
PROFESSIONAL AND INSTITUTIONAL DEVELOPMENT
SECTOR
Professional Development Office
Commonwealth Ave., Constitution Hills, Quezon City
Telefax: 931-7847; 931-7586
E-mail address: pdo.dbu.coa2015@gmail.com

PDS Form No. NOMINATION FORM Date Filed:

Rev: Feb. 2019 (Note: In nominating participants to this training/seminar strictly
observe/adhere to the principle of providing equal opportunity for all
deserving personnel. Discrimination on account of gender identity, sexual
orientation, disabilities, religion and/or group membership should not be
exercised.)

Course Title:

Date Covered:
WE ARE NOMINATING THE FOLLOWING TO THE ABOVE-NAMED COURSE:
PROFESSIONAL
NAME POSITION IDENTIFICATION REMARKS
CARD NO.
1.
2.
3.
4.
5.
Head of Office/Agency:

_____________________________
Signature over Printed Name

_____________________________
Designation
Office/Agency: Tel. Nos.: _______________
_______________
Office Address: Fax Nos: _______________
_______________
Office Email Address:
FOR PDO USE ONLY
(Action on Nomination)

NOMINATIONS: SEMINAR:
 CONFIRMED  CANCELLED

 NOT CONFIRMED  DEFERRED, NEW DATE _____________

REMARKS/SPECIAL INSTRUCTIONS: