Annex 2

Republic of the Philippines

Professional and Institutional Development Sector

PROFESSIONAL DEVELOPMENT OFFICE
E-mail address: pdo.dbu.coa2015@gmail.com

PDS Form No. NOMINATION FORM

Rev: Feb 2021 (Note: In nominating participants to this online training, you are
directed to observe/adhere to the principle of providing equal
Date Submitted:
opportunity for all deserving personnel. Discrimination on account of August 23, 2021
gender identity, sexual orientation, disabilities, religion, and/or group
membership should not be exercised.)

Course Title: Compliance Audit

Date of
Conduct/Schedule November 15-17, 2021
:
WE ARE NOMINATING THE FOLLOWING TO THE ABOVE-NAMED COURSE:

COMPLETE NAME POSITIO ACTIVE REMARK

CONTACT
OF NOMINEE N E-MAIL ADDRESS S
NUMBER
1. Pimentel, Vida SA III vida_lacson@yahoo.com 09175516215
Nathania L.
SA III jaime.serato.coa@gmail.co 09999974287
2. Serato, Jaime L.
m
3. Sy, Roselyn Grace SA III rgmwong@dbp.ph 09369579589
W.
4.

5.
Head of Sector/Office:

________ __ADELA L. DONDONILLA________________

Signature over Printed Name

_ _ _Cluster Director_________
Designation
Sector/Office: Office Tel. Nos.:

Office Email Address:

FOR PDO USE ONLY

(Action on Nomination)
NOMINATIONS: SEMINAR:
 CONFIRMED  CANCELLED

 NOT CONFIRMED  DEFERRED, NEW DATE _____________

REMARKS/SPECIAL INSTRUCTIONS:

Commonwealth Avenue, Diliman, Quezon City, Philippines

Telefax Nos.: (632) 8931-7847; (632) 8931-75-86