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IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER RATING DATE OF LICENSE (if applicable)
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT Date of
(If Applicable)
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT NUMBER Validity
Licensed Professional Teacher 75% 24/09/2017 Tuguegarao City, Cagayan 1578552 08/01/2020

(Continue on separate sheet if necessary)
V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
28. INCLUSIVE DATES SALARY/ JOB/ PAY GOV'T
GRADE (if
F
O
F
I
E
G
NCY

/
CE
A
CO
M
P
NY
/

MONTHLY
M
E
NT
RT
DE
P
A

A

/
(mm/dd/yyyy) POSITION TITLE applicable)& STEP STATUS OF SERVICE
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) SALARY (Format "00-0")/ APPOINTMENT (Y/ N)
From To INCREMENT
01/05/2016 Present ADMINISTRATIVE AIDE I ISABELA STATE UNUVERSITY, ECHAGUE, 10,000.00 SG1 COS YES
ISABELA
08/01/2015 12/31/2015 ADMINISTRATIVE AIDE I ISABELA STATE UNUVERSITY, ECHAGUE, 8,000.00 SG1 COS YES
ISABELA
01/05/2015 07/31/2015 ADMINISTRATIVE AIDE I ISABELA STATE UNUVERSITY, ECHAGUE, 6,000.00 SG1 JOB ORDER YES
ISABELA
11/03/2014 12/31/2014 RESEARCH ASSISTANT ISABELA STATE UNUVERSITY, ECHAGUE, 6,000.00 SG1 JOB ORDER YES
ISABELA

(Continue on separate sheet if necessary)
SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 2 of 4