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n 1. NAME OF EMPLOYEE
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((PPO
OSSIIT
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2. DEPARTMENT, CORPORATION OR AGENCY/ 3. BUREAU OF OFFICE
LOCAL GOVERNMENT
4. DEPARTMENT/BRANCH/DIVISION 5. WORK STATION/PLACE OF WORK
6.a. PRES. APPROP. 6.b. PREV. APPROP. 7.a. SALARY 7.b. OTHER COMPENSATION
ACT ACT
BOARD RES. BOARD RES. AUTHORIZED : P
ORD. NO. ORD. NO.
ITEM NO. ITEM NO. ACTUAL : P
8. OFFICIAL DESIGNATION OR POSITION 9. WORKING OR PROPOSED TITLE
10. WAPCO DESIGNATION OF THE POSITION 11. OCCUPATION GROUP TITLE (Leave Blank)
12. FOR LOCAL GOVERNMENT POSITION CHECK GOVERMENTAL UNIT AND UNIT’S CLASS
MUNICIPALITY CITY PROVINCE
1st 2nd 3rd 4th 5th 6th 7th
13. STATEMENT OF DUTIES AND RESPONSIBLITIES.
(If more space is needed, please attach additional sheets.)
Percent of
Working Time
14. POSITION TITLE OF IMMEDIATE SUPERVISOR 15. POSITION OF NEXT HIGHER SUPERVISOR
16. NAMES, TITLES AND ITEMS OF THOSE YOU DIRECTLY SUPERVISE. (If more than 7 list only their nos. and titles.)
17. MACHINES, EQUIPTMENT, TOOLS, etc. used regularly in performance of work.
18. CONTACTS: 19. WORKING CONDITION
Occasional Frequent Normal Working Condition
General Public Field Work
Other Agencies Field Trips
Supervisors Expose to Various Weather
Management Others (Specify)
Others
20. I CERTIFY that the above answers are accurate and complete.
______________________ _____________________________
Date Signature of Employee
TO BE FILLED OUT BY IMMEDIATE SUPERVISOR
21. Describe briefly the general function of the Unit or Section.
22. Describe briefly the general function of the position.
23.a. Indicate the required qualification by years and kind of education considered in filling up a vacancy for the
position. (Keep the position in need rather than the qualifications of the present incumbent. This item should
be filled for a position other than teaching.)
Education:
Experience:
23.b. Licenses or certification required to do this work, if any.
24. I hereby certify that that above answers are accurate and complete.
______________
Date
_________________________________
Signature of Immediate Supervisor
APPROVED:
ELIZABETH E. QUESADA, CESO V
Schools Division Superintendent