PRAISE-011-0

Republic of the Philippines

Province of Laguna
CITY OF BINAN

Title of Award: NATATANGING COVID19 FRONTLINER

PRAISE NOMINATION FORM
Required Nomination
Name of Nominee: Position Title: Documents
1. Nomination Form (original) ;
Position Title: Department/Office: 2. Supporting documents, such as,
University/College Diploma or
Residence Address: Contact Details: Citations/Awards (if applicable);
Citations/Awards 3. Photos;
Received: 4. Affidavit of No Pending
Significant Accomplishment/s/Exemplary Behaviour Demonstrated: Administrative or Criminal Case
a. Description of the Nominee's Project/Work accomplished/Innovative Idea/Strategies or Activities Done and problems encountered; or NOTE: Background investigation shall
b. Adherence to one or more of the eight Norms of Conduct of Public Officials and Employees under RA 6713. Cite circumstances providing such norms, risk involved and problems encountered.
be conducted by the PRAISE
Committee

Impact of Accomplishment/s:
(Indicate problem/s addressed, savings generated, people/office benefitted and transactions facilitated. Indicate whether or not the accomplishments are part of the nominee's regular functions/mandated or the
product of his/her own initiative if part of nominee's reular duties/mandated. Justify why the accomplishments are considered exemplary or extraordinary)

CERTIFICATION:
We attest all facts contained herein and authorized the use of these information for publication. We understand that the PRAISE Committee will validate the accuracy of the information contained in Form and grant
our consent to the conduct of a background investiation. Any misrepresentation made by the signatories shall be a ground for disciplinary action pursuant to applicable Civil Service laws and rules.

Printed Name and Printed Name and

Signature: Nominee Signature: Nominator
EOP: "The City Government of Binan is an equal opportunity employer. All nominations are decided on the nominees' qualifications, merit, fitness to the recognition applied for.
CGO Binan does not tolerate discrimination based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin,
or any other basis covered by applicable laws."