Note: All data entries must be TYPEWRITTEN or COMPUTERIZED (Encoded)
Date:____________
JOHN M. DALIPE
City Mayor
Zamboanga City
2x2Picture
Dear Mayor John:
I have the honor to apply as _____________________________________
Sex
in the Office of the City __________________________________________________ ___ Male ___Female
PERSONAL DATA
Name:
Address:
Complete Contact Number/Tel. No:
Date of Birth/Age:
Civil Status:
Name of Spouse & Contact No.
(if applicable)
Name of Father:
Mother’s Maiden Name:
Email Address:
EDUCATIONAL ATTAINMENT
Educational Attainment/Course: (indicate
highest level or graduated)
Name of School:
Inclusive Dates of Attendance (From - To):
Year Graduated:
Post Graduate/Masteral ( or Units Earned):
Name of University/College:
Honor/Awards Received:
Eligibility with Rating (PRC/CSC (others):
WORK EXPERIENCE (Indicate start from present employment)
Name of Office/Agency/Company Employer Position Inclusive Dates
TRAINING/SEMINAR (Local/Foreign)
(Excluding Forums/Conferences/Summit/Convention/Seminar and Training conducted by the School as Part of the Curriculum)
Name of Training Conducted By No. of Hours Inclusive Dates
SKILLS & COMPETENCIES
OUTSTANDING ACCOMPLISHMENT/s (if Any)
CHARACTER REFERENCES (List atleast three (3) references excluding immediate family members and/or relatives)
Name Address Occupation & Contact No.
Employment Examination (City Government of Zamboanga)
Number of Times Taken Date/s of the Examination
I hereby certify that the above statements are true and
correct to the best of my knowledge. (Any Very truly yours,
Falsification of the above entries shall cause the
disqualification in taking the Employment Examination)
(Printed Name & Signature)
Are you a person with disablility?
YES NO
Kindly submit your Application Form directly to the Office of the
City Human Resource Management, Villalobos Street, Zone IV, ZC
Are you a person with disablility?
YES NO
Kindly submit your Application Form directly to the Office of the
City Human Resource Management, Villalobos Street, Zone IV, ZC If YES, please specify:
HRPPD/CHRMO Application/edited 10/21/2020/CTT/jlm