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DAP-PMDP-MMC-Form C-Agency Screening Certification

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0% found this document useful (0 votes)
20 views

DAP-PMDP-MMC-Form C-Agency Screening Certification

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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DAP-PMDP-

MMC, F3, Rev.0

AGENCY SCREENING CERTIFICATION FORM (MMC-C)


(To be filled-out by the Person-in-Charge of Scholarship /
HR or Admin Officer / Personnel)

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 Professional Eligibilities If pursuing 3rd Level


satisfies Certifications  PD 907 eligibility, check stages
government  RA 1080 passed
required  PRC, specify  Professional
eligibility. area  Career Service Executive
___________ Eligible  MATB
 Career Executive Service  Assessment Center
(Please check
 Bar Exams Eligible  Validation
applicable
 Career Executive Service Officer  Panel Interview
boxes)
state rank ______

Nominee is 50
yrs. old or Birthdate: ___________________ Age:
below mm / dd / yyyy
DAP-PMDP-
MMC, F3, Rev.0
Criteria Qualifications

Nominee holds Highest Degree and Year of School:


a Bachelor’s educational Specialization: Graduation:
degree attainment:

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 _____

Total number of years of service in government? __________

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

Please cite other information that will


support nomination to PMDP.

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

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