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

NONE NONE NONE NONE NONE NONE

(Continue on separate sheet if necessary)

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

SANGGUNIANG PANGLUNGSOD CONTRACT

10/17/2018 12/31/2021 ADMNISTRATIVE STAFF 14,000.00 N/A YES
BLDG., CITY HALL COMPLEX OF SERVICE
RECEIVING CLERK & B.O PUREGOLD PRICE CLUB INC. - NUEBE
01/22/2018 07/31/2018 6,000.00 N/A CONTRACTUAL N/A
CUSTODIAN SERVICE COOPERATIVE

(Continue on separate sheet if necessary)

SIGNATURE DATE January 3, 2022
CS FORM 212 (Revised 2017), Page 2 of 4