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Authetication of Certs - Individual Officer's Data Capture Form
Authetication of Certs - Individual Officer's Data Capture Form
PART (I)
OFFICER’S FULL
NAMES:____________________________________________________________________________________
PF NO:___________________________ DESIGNATION:____________________________________________________________
(a) _______________________________________________________________________________________________________
(b) _______________________________________________________________________________________________________
(a) _______________________________________________________________________________________________________
(b) _______________________________________________________________________________________________________
(a) _______________________________________________________________________________________________________
(b) _______________________________________________________________________________________________________
(c) _______________________________________________________________________________________________________
YEAR ENROLLED/REGISTERED:____________________________________________________________________________
Attached are certified copies of the originals and transcript (Human Resource offices to certify).
DATE:_________________________________________
SIGNATURE:_________________________________________________
(2) Failure to submit may result in disciplinary action taken against the officer including immediate
stoppage of salary.
PART (II)
NAME_______________________________________________________________________________________________________
DATE:______________________________________________SIGNATURE:____________________________________________