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Government Internship Program (Gip) : Application Form

This document appears to be an application form for an internship program run by the Public Employment Service Office of the City Government of Makati in the Philippines. The form requests basic personal information from applicants such as name, date of birth, contact details, education history, and skills. It also lists the required supporting documents for the application and a statement for applicants to sign acknowledging the accuracy of the information provided and consenting to the use of their personal data.

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Mej Diel
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1K views

Government Internship Program (Gip) : Application Form

This document appears to be an application form for an internship program run by the Public Employment Service Office of the City Government of Makati in the Philippines. The form requests basic personal information from applicants such as name, date of birth, contact details, education history, and skills. It also lists the required supporting documents for the application and a statement for applicants to sign acknowledging the accuracy of the information provided and consenting to the use of their personal data.

Uploaded by

Mej Diel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES

CITY GOVERNMENT OF MAKATI


PUBLIC EMPLOYMENT SERVICE OFFICE

GOVERNMENT INTERNSHIP PROGRAM (GIP)

APPLICATION FORM

Control No.: __________________


SURNAME FIRST NAME MIDDLE NAME PWD? (YES/NO):________
IF YES WHAT TYPE OF DISABILTY?

DATE OF BIRTH:(mm/dd/yyyy) PLACE OF BIRTH: 4PS(YES/NO):

AGE: Passport Size Picture


CONTACT DETAILS/CELPHONE NO.: EMAIL ADDRESS: (3.5cm x 4.5 cm)

SOCIAL MEDIA ACCOUNT ACTIVELY LOOKING FOR WORK (YES / NO)?


(FACEBOOK, TWITTER, INSTAGRAM, ETC.)

STATUS SEX  Student  ALS student


 Single  Married  Widow/er  Separated  Male  Female  out-of-school (OSY)
CURRENT STATUS OF PARENTS:  Living together  Solo Parent  Separated  Person With Disability  Senior Citizen
 Sugar Plantation Worker  Indigenous People  Displaced Worker (1)  Local (2)  OFW
PRESENT ADDRESS:

PERMANENT ADDRESS:

FATHER’S NAME /CONTACT NO.: MOTHER’S MAIDEN NAME/CONTACT NO.:

OCCUPATION: OCCUPATION:

EDUCATION NAME OF SCHOOL DEGREE EARNED/COURSE YEAR/LEVEL DATE OF ATTENDANCE


Elementary
Secondary
Tertiary
Tech-Voc
DOCUMENTARY REQUIREMENTS:
(Original and other documents, when applicable, should be presented for validation)
[ ] 1) Duly accomplished GIP Application Form.
[ ] 2) Passport Size (3.5 cm x 4.5 cm) ID picture (1 pc., white background, attach to GIP Application Form)
[ ] 3) Birth Certificate (Photocopy, PSA / NSO Copy Only)
[ ] 4) VOTERS ID/ CERTIFICATION (latest issued by COMELEC 2018-2019)
[ ] a) For Applicants aged 18-20 years old – Applicant or Parents Voters ID / Certification
[ ] b) For Applicants aged 21-30 years old – Applicant Voters ID / Certification
Voters Stub will not be honored.
Voters / Certification of Guardians will not be honored except if both parents are deceased.

[ ] 7) Long Brown Envelope (Labelled with GIP, Name, Address, Contact Number, Signature)

[ ] QUALIFIED EVALUATED BY:


[ ] DISQUALIFIED
REMARKS: DATE:
SPECIAL SKILLS:

HISTORY of GIP and SPES Availment YEAR BRGY/OFFICE ASSIGNED


st
[ ] 1 Availment
nd
[ ] 2 Availment-
rd
[ ] 3 Availment
[ ] 4thAvailment

I hereby attest that the information above are true and correct to the best of my knowledge, including the attached documents /
requirements which I also attest as to their veracity. I agree that any false statement would cause the automatic disqualification/ cancellation
of the service/ contract/ grant and I shall refund amount received and/or pay damages to the City Government of Makati or comply with other
sanctions in accordance with law. Further, I am freely giving, specific, informed indication of my will and full consent for the collection and
processing of my personal information in accordance with Data Privacy Act of 2012.
____________________________________
Printed Name and Signature of Applicant

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