For Uniformed Personnel (Original Appointment/Regular Promotion)
First Name Middle Name Surname
Name
Promotional Rank SG
Annual Compensation Php Date of Birth mm/dd/yyyy
Agency PHILIPPINE NATIONAL POLICE Sector
Area Criteria Yes No
1. Education: Bachelor's Degree with Master's Degree Qualification Standard 2. Time-In-Grade (Experience) 3. Training 4. Eligibility 5. KSS Form Blg. 33 in triplicate …………….(Narebisa 1998) 6. Employment Status 7. Nature of Appointment
Common 8. Signature of Appointing Authority
Requirements 9. Date of Signing 10. Certification of Publication 11. Certification by PSB Chairman
12. Personnel Data Sheet - CS Form 212
…………………..(Revised 2005)
13. Erasures or alteration on the
………………Appointment 14. With pending criminal case Additional Requirements in 15. With decided administrative case Specific Case 16. Discrepancy in name/place of ………………birth/date of birth 17. COMELEC Ban PNP IS A CSC- REGULATED AGENCY CSCFO-PNP ACTION:
PINAGTIBAY o Notation:
HINDI PINAGTIBAY o Ground:
Evaluated by: DATE
Final Action by: DATE VELDA E. CORNELIO / ELIANE THERESE R. SINGSON Director II, CSCFO-PNP / Sr. HRS romotion)