DAP-PMDP-MMC-Form C-Agency Screening Certification
DAP-PMDP-MMC-Form C-Agency Screening Certification
NAME OF NOMINEE
CONFIDENTIAL
This certifies that the nominee is considered high-performing and high potential and qualifies
based on the following criteria/requirements of the PMDP:
Criteria Qualifications
Position:
Date of Appointment: Salary Grade:
Division/Department:
Office Address:
Nominee holds Office Contact Info:
a permanent Is the position permanent / regular? Yes No
position Is the nominee designated to another role/function? Yes No
equivalent to If yes, state Position: Salary Grade:
SG 18 to 24 Designation Date of Designation Order:
Information on Immediate Supervisor
Name:
Position:
Contact Details:
Nominee is 50
yrs. old or Birthdate: ___________________ Age:
below mm / dd / yyyy
DAP-PMDP-
MMC, F3, Rev.0
Criteria Qualifications
Nominee got (Indicate year, check applicable period and put rating)
VS/ higher
PAR rating for Year: _____ Rating Year: _____ Rating Year: _____ Rating
the past 2 1st Semester _____ 1st Semester _____ 1st Semester _____
years 2nd Semester _____ 2nd Semester _____ 2nd Semester _____
Does the nominee have a record of habitual leaves (a maximum of 2 months/year)? Yes No
Does the nominee have any pending administrative and/or criminal case? Yes No
The nominee must submit additional requirements such as Personal Data Sheet, copy of
Appointment Papers, copy of Transcript of Records and Nomination form signed by the head of
agency. As part of the screening process, the nominee will undergo an examination and an interview.
___________________________________________ ______________________
Name and Signature of Person Completing this Form Position
___________________________
Date Accomplished