IV.

CIVIL SERVICE ELIGIBILITY

27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT Date of
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT Validity
MEDICAL TECHNOLOGY LICENSURE
75.5 9/1/2011 MANUEL L. QUEZON UNIVERSITY 0057319 12/28/2021
EXAMINATION

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V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
INCLUSIVE DATES SALARY/ JOB/ PAY
28.
GRADE (if GOV'T
(mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY MONTHLY STATUS OF
applicable)& STEP SERVICE
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) SALARY (Format "00-0")/ APPOINTMENT
(Y/ N)
From To INCREMENT

1/16/2017 2/11/2019 DRUG ANALYST DRUGCHECK PHILIPPINES 15000.00 N/A CONTRACTUAL N

7/5/2012 6/30/2016 PROJECT MANAGER, TRAINER & MEDTECH ALPHA PRIME DIAGNOSTICS 18000.00 N/A PERMANENT N

11/12/2011 6/30/2012 MEDICAL TECHNOLOGIST MARY IMMACULATE MATERNITY HOSPITAL 10000.00 N/A CONTRACTUAL N

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SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 2 of 4