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TABLE OF CONTENTS
1, APPLICATION LETTER
2. HANDWRITTEN AND COMPUTERIZED PERSONAL DATA SHEET (PDS)
3. WORK EXPERIENCE SHEET
4. CERTIFICATE OF EMPLOYMENT
5, SCHODL AUTHENTICATED TRANSCRIPT OF RECORDS AND COLLEGE DIPLOMA
6. AUTHENTICATED COPY OF PROFESSIONAL REGULATIONS COMMISSION (PRC) BOARD RATING
7. AUTHENTICATED PHOTOCOPY OF PRC 10
8. PHOTOCOPY CERTIFICATE OF LIVE BIRTH ISSUED (PSA)
9. PHOTOCOPY NATIONAL BUREAU OF INVESTAGATION (NBI) CLEARANCE
10. PHOTOCOPY OF TAX IDENTIFICATION (TIN) CARD
11, PHOTOCOPY OF PHILHEALTH ID CARD
12, PHOTOCOPY OF VERIFIED PHILHEALTH MEMBER DATA RECORD (MOR)
13. PHOTOCOPY OF VERIFIED PAG-IBIG MEMBER DATA FORM (MDF)September 13, 2021
SSUPT RENATO BADONG MARCIAL, DSC.
Regional Director
Dear Dir. Marcial:
| would like to apply for the Fire Officer 1 position, in the newly opened position in
Region 9, Zamboanga City
| obtained my Bachelor's Degree in Civil Engineering at Universidad De Zamboanga in
Zamboanga City fast April 13, 2014 and successfully passed the Civil Engineering
Board Exam in May 2015.
Ihave been working with NHA from April 13 2016 to June 30 2019 as Emergency Hired
Senior Engineer A/ SG16 handling Regular Housing Projects for the Zamboanga District
Office and also | have been working in Municipality of Parang Sulu from July 07 2019 to
February 07 2020 as Municipal Engineer SG 24.
Anticipating that this application merits your consideration and approval
Attached herewith are my Updated Personal Data Sheet (PDS) CSC Form 212
(Revised 2017), and other credentials for your perusal.
Should you require further information, | can be reached at 0975-152-5951 or through e-
mail at marlatifsakandalalbang@ gmail,
Thank you very much for the opportunity.
Respectively yours,
(ng A. SakandalFORE ACCOMPUSHONG THE POS Fou
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1 Have you ever been separated om the Seni any oie lowing modes egal, Ove Bw
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[a & Fave YOU eve bos 0 candidate in a natal Tal lech held win Wo lek year [exch YS 0
Barangay electon)? AES oe sate 8
Have you resigned rom the goverment service dung the fe (3}month period before the lst |] YES Ano
‘ection to promoteactvey campaign for @ national oriecal candida? YES, ge sets:
3 Have you Bcqared the sas Of an immigrant o portanent resken fencer cauniy? uve TaN0
IVES, ave deta (county:
"2 Pursantto"(@) ndigenous People's Ac (RA B37) (0) Maya Cara for Disabled Persons (RA
T2ITy anc} Solo Perents Welle Act of 2000 (RA 6972), please answer the folowing ters:
12 Are youa member of any indigenous group? Zlwo
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REFERENCES [Peso ol eat sarge o any art cee)
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SUBSCRIBED AND SWORN to before mes
Philippines. | authorize the agency headfauthorized representative to wertyiadale the conients stated herein
| agree that any misrepreseniaton made fn this document and is attachments shall cause the fling of
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PERSONAL DATA SHEET
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(COMPUTER UTERATE M MICROBOFT OFFICE 8 wa PUPPRNG STUTE OF CL ENGMEER NC.
XCEL ME WORD, ETC)
September 13, 2024‘Are you reated by consanguinity orainly fo the appontny or recommending auinorty. of fo the
chit of bureau or offce orto the person wha fas imrmediaia supervision over you In the Oe,
Bureau or Department where you wil be appointed,
2, within the third dogroe? Ons Bro
', within tho fouth degree (for Local Governmont Unit - Career Employees)? Ove Eno
ILYES, give details
'@ Have you ever been ound guy of any administrative offensa? Ove no
YES, give deta,
Have you boen criminaly charged belore any cout? Ovs Gw
YES, give deta
Oate Fred,
Status of Cases:
ave you ever been concod of any cine or lator any aw, dere, rans Or reQURON |) veg Bw
by any court or buna? ITYES, ge deals:
Have you ever been separated from the service in any of he olowing modes. resignation,
Fetrement, dropped from the rols, dismissal, temminaton, end of term, fished contract or phased | TfYES, give detads:
ut (abolition) inthe public or private sector?
«Have you ever boon candidate na nalinal or lca elecbon hold wit the last year (cept | 1) ves Gino
Barangay election)? TIVES, give details:
». Have you resigned from the goverment service during the tree (3}snanth period botore the last] ] vES Eno
ection to promctelactively campaign fora rational or focal candidate? YES, give deta:
‘Have you acquired the slatus of an knmigrat or permanent resent of another county?
Eno
Ove no
IFES, give deta (county
“7 Parsvant to a Indigenous Pacpie's Ae (RA 8371) (6) Magna Cat for Dabled Porons (RA
‘TAIT and (0) Solo Parents Weltare Act of 2000 (RA 8972, please answer the folowing tems:
=. Are you a member of any ndigonous group?
VER sce spect cai
o Are you a person with disability? Oy Eno
YES, please apecity 10 No:
Are you a solo parent? Ovs
(41 REFERENCES (Prsn ot eat by consanguinity to agar porte)
wwe TRESS TEN.
ENGR. AL-KHWARIZMI UL INDANAN (Distfct Engr. NHA) | PUTI,zaweoaNGacrTy — | 09057504254
ENGR. REYNALDO H.BOLAY-06 (Princpal Engr. NHA) | DMMSORAzaMBOANGAGY | on712552615
(OMAR MUKTAR RIZAL TINGKAHAN ( Former Mayor) 173020060
“TET declare under oath thal I have personaly accomplished ts Personal Data Sheet which i a tue, comet and
‘complete stalerent pursuant lo the provisions of pertinent laws, rues and regulations of the Repubic of the
Phiippines. | authorze the agency head/authoized representaive (0 verfyalidate the contents stated herein, SAKANDAL MARLATIF A,
1 agree that any misrepresentatin mace in this document and its allachments shall cause the fing of
sao 0 fe Paapt GSS SSS PRG ONAL eT
[PLEASE INDICATE 1D Number and Date of ssuance
(\40 0.2
Tain ere TST
‘T1N222018/ ZAMBOANGA CITY ETS SEE
SUBSCRIBED AND SWORN to before me his 3 _ afar extbting hater vay Issued goverment ID as ncted above,