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Personal Data Sheet
CS Form No. 212 — Comprehensive personal information, education, civil service eligibility, work experience, and other qualifications.
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Service Record
Complete history of employment, appointments, designations, reassignments, and promotions throughout government service.
Pending
CS Form 33-A — Appointment
Certificate of Appointment — Official record of original appointment, promotion, transfer, reassignment, or reemployment.
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Salary Adjustment
Notice of Salary Adjustment — Documentation for step increments, reclassification, and other salary changes.
Pending
SALN
Statement of Assets, Liabilities and Net Worth — Annual declaration of financial interests and business interests.
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Service Record Editor
Employee Information
Service Entries
Signatory
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Live
Republic of the Philippines
Province of Ilocos Sur
MUNICIPALITY OF SANTA
SERVICE RECORD
NAME:
(Surname)
(Given Name)
(M.I.)
(If married woman, give also full maiden name)
BIRTH :
(Date)
(Place)
(Data herein should be checked from Birth or Baptismal Certificate or some other reliable documents)
This is to certify that the employee name hereinabove actually rendered services in this Office as shown by the service record below:
| SERVICE (Inclusive Dates) |
RECORD OF APPOINTMENT | OFFICE Station |
ENTITY Branch |
LV ABS w/o pay |
SEPARATION | ||||
|---|---|---|---|---|---|---|---|---|---|
| From | To | Designation | Status | Salary/A | Date | Cause | |||
| X - X - X - NOTHING FOLLOWS - X - X - X | |||||||||
CERTIFIED CORRECT:
Municipal HRMO
Date: