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Republic of the Philippines

PROVINCE OF BUKIDNON
Malaybalay City

PROVINCIAL HUMAN RESOURCE MANAGEMENT OFFICE


JOB APPLICATION FORM PHRMO-APPT FORM NO. 1 (Nov 2018)

FILL OUT THIS FORM AND PRINT. ATTACH PHOTOCOPIES OF THE FOLLOWING DOCUMENTS (Please check the documents attached):
_____
✘ Transcript of Records (TOR) or High School Diploma _____ Performance Rating for the last rating period prior to assessment
or Elementary School Diploma _____ Certificates of Training (if available)
_____ Certificate of Eligibility (CS Eligibility/PRC License) _____ Others.

APPLICANT'S PROFILE
LASTNAME: Ladesma AGE: 24
FIRSTNAME: Rey GENDER: Male
MIDDLE NAME: Caseres NAME EXT.: NICKNAME: rey
ADDRESS: Purok 1 Lagandang Damulog Bukidnon CIVIL STATUS single PHOTO HERE
CLICK HERE TO INSERT
CELL NUMBER: 09463687567/09061100133 MOTTO PHOTO AND FOLLOW
EMAIL: reyladesma@yahoo.com INSTRUCTIONS AT
If Others can do why cant I.
FACEBOOK: Rey Caseres Ladesma THE RIGHT →

ARE YOU PRESENTLY EMPLOYED WITH THE PGB? YES NO NO. OF YRS IN THE PGB
PRESENT POSITION? NO. OF YRS IN THE POSITION

ARE YOU A MEMBER OF AN INDIGENOUS GROUP? YES NO SPECIFY:


ARE YOU A DIFFERENTLY-ABLED PERSON? YES NO SPECIFY:

VACANCY DETAILS
VACANT POSITION: Administrative Aide 1 ITEM NUMBER
OFFICE WHERE VACANCY EXISTS: BPH-KIB-95-96-137-139

QUALIFICATIONS
(Provide first the information required in this page before filling out the additional information in Page 2)
NAME OF SCHOOL/ COLLEGE/ UNIVERSITY RELEVANT COURSE/DEGREE YEAR GRADUATED/
LEVEL
(May be Abbreviated) (May be Abbreviated) Units Earned
EDUCATION

GRADUATE Roman C. Villalon Memorial Colleges Foundation Inc. Bachelor of Elementary Education (BEED) 2015
STUDIES
TERTIARY
VOCATIONAL
SECONDARY
PRIMARY
START FROM THE LATEST BRIEF JOB DESCRIPTION/FUNCTIONS (Required)
EXPERIENCE

POSITION TITLE Private classroom Teacher To teach and facilitate the students. Perform the school forms.
NAME OF OFFICE MCAS FOUNDATION
STATUS
NAME & POSITION Dr. Lydia B. Abucayan/School President
OF SUPERVISOR

INCLUSIVE DATE May 2017-may 2019


SALARY per month 4,000.00
TRAININGS ATTENDED IN THE LAST FIVE (5) YEARS
TITLE OF RELEVANT TRAININGS/SEMINARS DATES # OF HOURS SPONSOR
TRAINING

ELIGIBILITY EMPLOYMENT AWARD PERFORMANCE RATING


NAME OF ELIGIBILITY NAME OF AWARD RATING PERIOD

Licensed Professional Teacher NUM. RATING


RATING, IF ANY: DATE ISSUED: ADJ. RATING

CHARACTER REFERENCES
NAME ADDRESS CONTACT NUMBER
1 Hon. Silverio D. Tenefrancia Lagandang Damulog Bukidnon
2 Danilo B. Montejo Sampagar Damulog Bukidnon 9357002744
3 Dr. Lydia B. Abucayan Bayabason Maramag Bukidnon 9162942571

CERTIFICATION
I HEREBY CERTIFY that all the information provided by me on this application form are true, correct and complete, and I understand that if any false
information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at
any time. In consideration of my employment, I agree to conform to the Provincial Government of Bukidnon and Civil Service laws, rules and regulations.

REY C. LADESMA
NAME OF APPLICANT SIGNATURE DATE

FILL OUT THE FORM AND PRINT IN 5 COPIES ON A LONG BOND PAPER
ADDITIONAL SHEET FOR WORK EXPERIENCE AND TRAININGS ATTENDED IS PROVIDED IN PAGE 2
ADDITIONAL SHEET FOR WORK EXPERIENCE AND TRAININGS ATTENDED
(You may insert additional rows, if necessary)
WORK EXPERIENCE JOB DESCRIPTION/FUNCTIONS (Required)
POSITION
NAME OF OFFICE
STATUS

NAME & POSITION OF


SUPERVISOR

INCLUSIVE DATE
SALARY PER MONTH

WORK EXPERIENCE
POSITION
NAME OF OFFICE
STATUS

NAME & POSITION OF


SUPERVISOR

INCLUSIVE DATE
SALARY PER MONTH

WORK EXPERIENCE
POSITION
NAME OF OFFICE
STATUS

NAME & POSITION OF


SUPERVISOR

INCLUSIVE DATE
SALARY PER MONTH

WORK EXPERIENCE
POSITION
NAME OF OFFICE
STATUS

NAME & POSITION OF


SUPERVISOR

INCLUSIVE DATE
SALARY PER MONTH

TRAININGS ATTENDED IN THE LAST 5 YEARS

NO. OF
TITLE OF RELEVANT TRAININGS/SEMINARS DATE/S SPONSOR
HOURS

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