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Ces Application Form

This document is a personal data form for the Career Executive Service Board requiring information such as name, birthdate, education history, employment history, training, and attachments needed. The form requests personal details, educational qualifications from primary school through post-graduate levels, languages spoken, civic and professional affiliations, publications, fields of specialization, current CES appointment information including position title and office address, eligibility acquired, CES trainings attended, management trainings, and a declaration that the information provided is true.

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Veritas Vitae Magistra
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© Attribution Non-Commercial (BY-NC)
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552 views2 pages

Ces Application Form

This document is a personal data form for the Career Executive Service Board requiring information such as name, birthdate, education history, employment history, training, and attachments needed. The form requests personal details, educational qualifications from primary school through post-graduate levels, languages spoken, civic and professional affiliations, publications, fields of specialization, current CES appointment information including position title and office address, eligibility acquired, CES trainings attended, management trainings, and a declaration that the information provided is true.

Uploaded by

Veritas Vitae Magistra
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CESB-MIS FORM NO.

006-03 (revised June 2003)

CAReeR eXeCUTIVe SeRVICe BOARD #3 Marcelino St., Holy Spirit Drive, Diliman, Q.C.

CES PERSONAL DATA FORM


Instructions: 1. If necessary, use a separate sheet of paper following the same format. 2. Type or print the data on each space clearly. 3. Please complete the data needed in this form.

Please attach most recent 2"x2" colored photo with white background

PERSONAL CIRCUMSTANCES NAME Last Name GENDER Male Female BIRTHDATE RELIGION PERMANENT HOME ADDRESS TELEPHONE/FAX NO(S). E-MAIL / CELLPHONE NO. SPOUSE CHILDREN

First Name Middle Name Nickname CIVIL STATUS NATIONALITY Single Widow/Widower Annulled Married Separated BIRTHPLACE HEIGHT (Meters) WEIGHT IDENTIFYING MARKS

(Kilos)

GENDER

BIRTHDATE

EDUCATIONAL QUALIFICATIONS
LEVEL OF EDUCATION SCHOOL COURSE ( MAJOR )
INCLUSIVE DATES OF ATTENDANCE
HIGHEST YEAR COMPLETED UNITS/DEGREE EARNED

HONORS

LOCAL/

RECEIVED FOREIGN

COLLEGE VOCATIONAL POST-GRADUATE OTHERS LANGUAGE/S or DIALECT/S SPOKEN: SCHOLARSHIP/S RECEIVED TITLE SPONSOR INCLUSIVE DATES LOCAL FOREIGN MAJOR CIVIC & PROFESSIONAL AFFILIATION/S ORGANIZATION POSITION INCLUSIVE DATES TITLE PUBLISHER DATE CES STATUS CURRENT CESO RANK _____ AWARD/S RECEIVED TITLE SPONSOR DATE
Continue at the back please.

TITLE SPONSOR INCLUSIVE DATES LOCAL FOREIGN ORGANIZATION POSITION INCLUSIVE DATES TITLE PUBLISHER DATE CES Eligible TITLE SPONSOR DATE
(use additional sheet if necessary)

IMPORTANT STUDIES/RESEARCHES/PAPERS WRITTEN

Non-CES Eligible

FIELD/S OF SPECIALIZATION / EXPERTISE

Agrarian Reform Agriculture Arts/Humanities Business Mgmt. Communication Arts Culture Economics Education Energy Dev't & Mgmt. Environment & Natural Resources Finance Foreign Affairs
CURRENT APPOINTMENT TO CES POSITION POSITION TITLE (per DBM Plantilla)

Health & Medical Science Information Tech./ M.I.S. Labor Administration Law Local Gov't Administration Nat'l Security & Defense Planning Policy Administration/ Mgmt. Public Works & Highways Research Rural Development Science & Technology

Social Services Sports Telecommunications Tourism Trade & Industry Transportation Urban Development Project Management OTHERS, pls. specify

SALARY GRADE

OFFICE ADDRESS TEL./FAX NO(S). STATUS OF APPOINTMENT Permanent Temporary Coterminous If you are designated in an OIC, Acting or Concurrent capacity, please specify below: POSITION TITLE OFFICE ADDRESS TEL./FAX NO(S). ELIGIBILITY ACQUIRED (Civil Service/Board/Bar Examinations Passed) TITLE DATE TAKEN

SALARY GRADE

PLACE

RATING

CES TRAINING/S ATTENDED SALAMIN Session DIWA Session GABAY Session I-ELP Session OTHERS (please specify title and inclusive dates)

MANAGEMENT AND SPECIAL TRAINING/S TITLE SPONSOR INCLUSIVE DATES VENUE TITLE SPONSOR INCLUSIVE DATES VENUE

CASE RECORD/S Do you have any pending a) Administrative Case? b) Criminal Case? REQUIRED ATTACHMENTS

Yes Yes

If you have any, please give the status of the case. No _____________________________________________________________ No

Please submit this form together with the following documents: Appointment Paper Designation Order

Service Record

I declare under the penalties of perjury that this form has been accomplished in good faith, verified by me and to the best of my knowledge and belief is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines.

Date
Subscribed and sworn to before me this _____ day of __________________ 200__

Signature over printed name

Administering Officer
Judiciary, Legal Officer or the Head of Agency.

Position / Office

NOTE: The administering officer may be one of the following: Office Personnel / Administrative Officer, any Member of the

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