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I, DIZZA ALBERN R. SALABIT, Filipino, of legal age, with permanent address at Sibuyas 1,
Danlugan, Pagadian City Zamboanga del Sur, hereby depose and state that:
1. PAGADIAN CITY, Zamboanga del Sur after being sworn in accordance with law, I am
applying for an ADMINISTRATIVE OFFICER 1 position at Department of Education-
Division of Zamboanga del Sur;
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Signature over printed name
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Date
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