Page 1788 - AACCUP Accreditation_AreaIV

IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT Date of
(If Applicable)
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT NUMBER Validity
LICENSURE EXAMINATION FOR GUIDANCE 75.5 08/3-4/2016 MANILA 0003083
COUNSELOR 08/09/2016

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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
E
C
/

C
F
OF

I
/

PA
OM
N

Y
Y
T
M
EN
D
EP
AR
T
AG
EN
C
/

MONTHLY
(mm/dd/yyyy) POSITION TITLE SERVICE
STATUS OF
applicable)& STEP
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) SALARY (Format "00-0")/ APPOINTMENT (Y/ N)
From To INCREMENT
HUMAN DEVELOPMENT CENTER
11/09/2009 03/31/2017 GUIDANCE COUNSELOR P14,600.00 N/A PERMANENT NO
UNIVERSITY OF LA SALETTE, INC.

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