CS Form No.

5
Series of 2017

Republic of the Philippines

___(Name of Agency)___

CERTIFICATION

This is to certify that based on the records of this Office, there is no qualified
eligible who actually applied to the _(Position Title)_ position in _(Name of
Office/Agency Name)_ , _(Location)_.

This certification is issued pursuant to Section 5 (k), Rule II of CSC

Memorandum No. ___, s. 2017 (2017 Omnibus Rules on Appointments and Other
Human Resource Actions).

I agree that any misrepresentation made in this certification shall cause the
filing of administrative/criminal case/s against me.

______________________________________
Highest Official In Charge of HRM

Date: _________________