TABLE OF CONTENTS

(Folder- A)
(2*' LEVEL REGULAR PROMOT|ON PROGRAM)

Original Signed PAIS PDS (Updated and Complete) "A"

Notarized Affidavit of U ndertaking '8,,

(DPRM Form RSD-03-A)

One Copy of Original NBI Clearance uc'

r'
Original Certification from the Court and Quasi- Judicial D"
Body (For those with pending Criminal/Administrative Case/s Only)

Authenticated CSC Attestation on Present Rank aaF-tt

tr
(Permanent and Temporary if Available)

Note: lncomplete Data will not be Accepted jb

 TABLE OF CONTENTS
(Folder- B)
(Civil Service Requirements for Attestation)

('A"
CSC Appointment Checklist (cscro-PNP checklist Form 1)

Original Duly Accomplished CSC PDS 212 '(8"

(Revised 2017)- 3 sets
IIC"
Authenticated Proof of Mandatory Training
c.1) Diploma
c.2) Final Order of Merit; and
c.3) Declaration of Graduates
((D"
Authenticated Proof of Eligibility
tt'-r,
Authenticated CSC Attestation on Present Rank tr
(Permanent and Temporary if Available)

Checklist of Common Requirements t-

DBM-CSC Form No. 1 l..)

CS Form No. 4 (Ceftification of Assumption to Duty) 'rH"

CS Form No. 32 (Certificate of Assumption to Duty) 'i l"

I(J,,
CS Form No. 33-A (KSS)- to be provided bv RPHRDD

Note: lncomplete Data will not be Accepted jb

CSCFO-PNP Checklist From 1

Revised April2016

ATTESTATION PROCESS CHECKLIST

For Uniformed Person nel lOriginal AppointmenURegular Promotion)

Firs-t Name Middle Name Sumame

Name

Promotional SG
Rank
Date of Birth
Annual Compensation Php (mm/dd/YYYY)
Agency PHILIPINE NATIONAL POLICE Sector NGA

Area Criteria Yes No Remarks

1. Education: Bachelofs Degree

Qualifications with Masteds Degree

Standards 2. Time-ln-Grade ( Experience )
3. Training
4. Eligibility
5. KSS Form Blg.33 in triplicate
(Revised 79951

6. Employment Status
7- Nature of Appointment
Common 8. Signature of Appointing Authority
Requirements 9. Date of Signing
10, Certification of Publication
11. Certification of PSB Chairman
12. Personal Date Sheet-CS Form 212
(Revised 2O051
13. Erasures or alterations on the
Appointment
14. With pending crimina! case
Additional
Requirements 15. With decided administrative case
in Specific 16. Discrepancy in name/place of birth/date
Gases of
birth
17. COMELEC Ban
PNP IS A CSC-REGULATED AGENCY
CSCFO-PNP ACTION:
APPROVED ( ) Notation:
DTSAPPROVED ( ) Ground:

Evaluated by: Date

FinalAction by: Date

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 Republic of the Philipplnes
POSITION DESCRIPTION FORM
DBM-CSC Form No" 1
(Revis€d VolsEn No" t, s 2017)

! Provlnce
E cin
E Municipality

Supervsors
Non-Supervisors
rtr !! Other Agencies

laff I !;] Otners (PIease Speofy)

S
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Field Work n il

Pago 1 ol 2
 CS Form No,4
Series of 2017

Republic of the Philippines

National Police Commission
PHILIPPINE NATIONAL POLICE
POLIGE REGIONAL OFFICE 5
Camp BGen Simeon A Ola, Legazpi City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that MriMs. has assumed

the duties and responsibilities as of
effective

This ceftification is issued in connection with the issuance of the appointment of

Mr/Ms. as

Done this _day of in

Head of Office/ DepartmenU Unit

Date:

Attested by:

Highest Ranking HRMO

201 file
Admin
COA
CSC
 CS Form No. 32
Revised 2017

Republic of the Philippines

National Police Commission
PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 5
Camp BGen Simeon A Ola, Legazpi City

OATH OF OFFICE

t, of
having been appointed to the position of hereby
solemnly swear, that I will faithfully discharge to the best of my ability, the duties of my
present position and of all others that I may hereafter hold under the Republic of the
Philippines; that I will bear true faith and allegiance to the same; that I will obey the
laws, legal orders, and decrees promulgated by the duly constituted authorities of the
Republic of the Philippines; and that I impose this obligation upon myself voluntarily,
without mental reservation or purpose to evasion.

SO HELP ME GOD.

(Signature over printed Name of the Appointee)

Government lD:
lD Number:
Date lssued:

Subscribed and sworn to before me this day of

20_in Philippines.

1s
Appointing Office/ Authorityl Head of Office)