Republic of the Philippines 1.

POSITION TITLE (as approved by authorized agency)

POSITION DESCRIPTION FORM With parenthetical title
DBM-CSC Form No. 1
(Revised Version No. 1, s 2017) Police Officer 1

2. ITEM NUMBER 3. SALARY GRADE

N/A SG 10
4. FOR LOCAL GOVERNMENT POSITION, ENUMERATE GOVERNMENTAL UNIT AND CLASS

Province 1st Class 5th Class

City 2nd Class 6th Class
Municipality 3rd Class / 7th Class
4thClass
5. DEPARTMENT, CORPORATION OR AGENCY/ 6. BUREAU OR OFFICE
LOCAL GOVERNMENT PHILIPPINE NATIONAL POLICE

Philippine National Police Philippine National Police

7. DEPARTMENT/BRANCH/DIVISION 8. WORKSTATION/PLACE OF WORK

Police Regional Office 13 Butuan City Police Station 1

9. PRESENT APPROP ACT 10. PREVIOUS APPROP ACT 11. SALARY AUTHORIZED 12. OTHER COMPENSATION
N/A
Php29, 668. 00
13. POSITION TITLE OF IMMEDIATE SUPERVISOR 14. POSITION TITLE OF NEXT HIGHER SUPERVISOR

PSUPT (Deputy City Director for PSSUPT (Acting City Director, BCPO)
Administration)

15. POSITION TITLE AND ITEM OF THOSE DIRECTLY SUPERVISED

(If more than seven(7) list only by item numbers and titles)
POSITION TITLE ITEM NUMBER

N/A N/A
16. MACHINE, EQUIPMENT, TOOLS, ETC., USED REGULARLY IN PERFORMANCE OF WORK

Mobile Phone, Computer, Printer, Xerox Machine, Internet

17. CONTACTS/ CLIENTS/ STAKEHOLDERS

17a. Internal Occasional Frequent 17b. External Occasional Frequent
Executive/Management General Public
Supervisors Other Agencies
Non-Supervisors Others (Please specify) __________________________
Staff
18. WORKING CONDITION
Office Work Others (Please specify) ________________________________
Field Work ✓

19. BRIEF DESCRIPTION OF THE GENERAL FUNCTION OF THE UNIT OR SECTION

Deployment of personnel statistically according to manning levels, population density and criminality
situation of the entire area covered by Butuan City Police Station 1.
20. BRIEF DESCRIPTION OF THE GENERAL FUNCTION OF THE POSITION (Job Summary)

Implementing police presence and community relation in my area of responsibility.

21. QUALIFICATION STANDARDS

21a. Education 21b. Experience 21c. Training 21d. Eligibility
BS Criminology 1year and 4months PSBRC RA 6506
and PSFTP PD 907
21e. Core Competencies Competency level

Public Safety Field Training Program (PSFTP)

21f. Leadership Competencies Competency Level

Public Safety Basic Recruit Course (PSBRC)

22. STATEMENT OF DUTIES AND RESPONSIBILITIES (Technical Competencies) Competency Level

Percentage of Working (State the duties and responsibilities here)
Time

23.ACKNOWLEDGMENT AND ACCEPTANCE:

I have received a copy of this position description. It has been discussed with me and I have freely chosen to comply
with the performance and behavior/conduct expectations contained herein.

PO1 Marle M Dominguez PCINSP EPHRAIM Y DETUYA

(June 18, 2018) (June 18, 2018)
Employee’s Name, Date and Signature Supervisor’s Name, Date and Signature
 CHECKLIST OF COMMON REQUIREMENTS HRMO CSC FORM
Instruction: Put a Check if the requirements are complete, use the space provided to indicate the name of appointee and the lacking
requirements.
1 APPOINTMENT FORMS(CS Form No. 33-
✓
A Revised 2017)- Three (3) original copies of
appointment form( Employee copy, CSC Copy
and Agency Copy)
PLANTILLA OF CASUAL APPOINTMENT
2 (CSC Form No. 34-Aor C) –Three(3) original ✓
copies of appointment form( employee copy,
CSC Copy and Agency copy)
3 PERSONAL DATA SHEET( CS Form No. ✓
212, revised 2017)
4 ORIGINAL COPY OF AUTHENTICATED
CERTIFICATE OF ELIGIBILITY RATING
✓
LICENSE-Except if the eligibility has been
previously authenticated in 2004 or onward
and recorded by CSC
5 POSITION DESCRIPTION FORM (DBM-CSC ✓
Form No.1 revised 2017)
6 OATH OF OFFICE (CS Form No. 32, Revised ✓
2017)
7 CERTIFICATE OF ASSUMPTION TO ✓
DUTY(CS Form No. 4)
This is to certify that I have checked the veracity, authenticity This is to certify that I have checked all the
and completeness of all the requirements in support if the requirements in support of the
appointment attached herein. appointments attached herein and found
these to be ( ) complete/ ( ) lacking.

RINGO C ZARZOSO CSC FO Receiving Officer

Police Superintendent
OIC, Regional Personnel and
Human Resource Development Division
CSCFO-PNP Checklist Form 1
Revised July 2015
ATTESTATION PROCESS CHECKLIST
For Uniformed Personnel (Original Appointment/Regular Promotion)

First Name Middle Name Surname

Name
MARLE MANING DOMINGUEZ
Promotional .
Rank POLICE OFFICER I SG 10
Date of Birth
Annual Compensation Php 449,856.00 11/11/1994
(mm/dd/yyyy)
Agency PHILIPPINE NATIONAL POLICE Sector NGA
Area Criteria Yes No Remarks
✓
1. Education: Bachelor’s Degree
✓
Qualification
with Master’s Degree
Standards ✓
2. Time-In-Grade(Experience)
3. Training ✓
4. Eligibility ✓
5. KSS Form Bldg. 33 in triplicate ✓
6. Employment Status ✓
7. Nature of Appointment ✓
8. Signature of Appointing Authority ✓
Common ✓
9. Date of Signing
Requirements ✓
10. Certification of Publication
11. Certification by PSB Chairman ✓
12. Personal Data Sheet-CS Form 212 ✓
(Revised 2005)
13. Erasures or alterations on the ✓
Appointment
Additional 14. With pending criminal case ✓
Requirements in 15. With decided administrative case ✓
Specific Cases 16. Discrepancy in name/place of birth/ ✓
date of birth
17. COMELEC Ban ✓
PNP IS A CSC-REGULATED AGENCY
CSCFO-PNP ACTION:
Notation
APPROVED ( )

Ground
DISAPPROVED ( )

Evaluated by: Date

Final Action by:
Date
MESHACH D. DINHAYAN
Director II, CSC ADNFO