COMPANY NAME & ADDRESS

LOGO Personnel Requisition Form

(For Internal Use Only)
HR From # 001
Please keep in mind only preliminary discussions can be held until this pre-authorization Form is completed,
signatures obtained and From returned to Human Resources.
Department/Unit Contact Person Phone Number Mailing Address

General Information: All Positions

Job Title: Date: Vacancy #:
Nature of Recruitment: Status:
 Replacement  Full Time Regular  Others
 New Position  Temporary: 3/6 Months
Budgeted:  Yes  No Date Vacancy Occurred:

REQUESTED ACTION:
 Establish a new position and recruit. Attach a completed position description and org chart.
 Review restructure of position. Attach a revised position description and org chart.
 Review for salary adjustment. Attach position description, org chart and letter of explanation.
 Begin recruitment for existing position. Confirm position description on file with Human Resource
Dept.
 Other
Essential Functions Of The Position (All Positions)
Please define the essential functions of this position and attach a complete description of the job with
minimum, preferred qualifications and experience. Also state if any specialized expertise is required.

Salary Range: ------------------------------------ Grade: --------------------------------------

Advertisement Desired:  Yes  No  Word of Mouth  Recruitment Agency

Date by which position to be filled:

Initiator: Authorized By Signatures Date
Signature
Dept. Head:

Unit Head

Date
Managing Director:

For Human Resource Use Only

Opening Date Closing Date Signature

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