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APPLICATION FORM
PERSONNEL CIRCUMSTANCES
DELOS REYES JEROME SOBRITCHEA
Name: (Last) (First) (Middle)
Office/Division: OLTS/ TAX SPECIALIST DIVISION Position SR. TAX SPECIALIST
Status of Length of Service 5 Years and Performance Ratings for the last
Appointment: PERMANENT in the CTA: 4 moths two (2) consecutive rating periods: VS VS
Do you have any pending criminal If yes, for what
Yes No
or administrative case? offence?
Seminars/Trainings Title of the Program Sponsoring Agency Inclusive Dates
attended for the last two
years
This is to certify that the above personnel circumstances are true and correct.
I HEREBY CERTIFY THAT THE ABOVE INFORMATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
_________________________________ _____________________________
Signature Date
Recommending Approval:
______________________________________
Chief of Division Head of Office
APPROVED BY: