Nomination Form: A. Personal Data
Nomination Form: A. Personal Data
Nomination Form: A. Personal Data
Instructions:
Please complete and mail or fax this form and your business card to:
COMMISSION ON AUDIT
PROFESSIONAL and INSTITUTIONAL
DEVELOPMENT SECTOR
Commonwealth Avenue, Quezon City, Philippines
Telefax Nos.: (632) 931-7847; (632) 951-0931
Please attach your business card here.
Please type or print responses.
A. PERSONAL DATA
Name: ______________________________________________________________________________
(SURNAME) (FIRST NAME) (M.I)
B. WORK EXPERIENCE
No. of years Brief Description of Responsibilities for the last two years:
with COA:
C. PROPOSAL FOR POLICY ANALYSIS / TITLE OF THE ACTION PROJECT (you may use additional sheet)
________________________________ ________________________________
Cluster/Regional Director Assistant Commissioner/Regional Coordinator
_______________________ _______________________
(Date) (Date)
TO NOMINATE: ATTACHMENTS
Fax the completed Nomination Form and attachments to (02) Certification of Good Moral Character
9317847 / (02) 9510931 Certification that nominee has no pending administrative and/or
Call the SEDP Secretariat at (02) 9317586 / (02) 9513534 legal cases
Mail to: PROFESSIONAL DEVELOPMENT OFFICE Certification that nominee is physically fit to perform classroom
COMMISSION ON AUDIT activities and physical exercises during the training
COMMONWEALTH AVENUE, QUEZON CITY
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Please submit complete nomination forms for your nominees. However, this does not mean all of them will be admitted to participate in the
PROGRAM. Acceptance to the Program will be subject to availability of slots. The total number of participants will be restricted to 30-35 per
class. Priority shall be given to nominees holding SA V positions or its equivalent and to contenders to promotion to higher positions.