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    2017 HAP Nomination Form 1 (LB and Pag - Indiv)

    Uploaded by

    Christopher Martin Gunsat
    This document appears to be a nomination form for outstanding government workers for the Presidential Lingkod Bayan and Civil Service Commission Pagasa Award. It requests information about the nominee such as their name, position, agency, and contact details. It also includes spaces for the nominee's photo and signature. The form continues with sections for the nominator and certifying officials to fill out and sign. It concludes with a 10-page limit for the nomination write-up describing the nominee's accomplishments, impact, awards, and other relevant information.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    2017 HAP Nomination Form 1 (LB and Pag - Indiv)

    Uploaded by

    Christopher Martin Gunsat
    56 views3 pages
    This document appears to be a nomination form for outstanding government workers for the Presidential Lingkod Bayan and Civil Service Commission Pagasa Award. It requests information about the nominee such as their name, position, agency, and contact details. It also includes spaces for the nominee's photo and signature. The form continues with sections for the nominator and certifying officials to fill out and sign. It concludes with a 10-page limit for the nomination write-up describing the nominee's accomplishments, impact, awards, and other relevant information.

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    Original Title

    2017 HAP Nomination Form 1 (LB and Pag_indiv)

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    This document appears to be a nomination form for outstanding government workers for the Presidential Lingkod Bayan and Civil Service Commission Pagasa Award. It requests information about the nominee such as their name, position, agency, and contact details. It also includes spaces for the nominee's photo and signature. The form continues with sections for the nominator and certifying officials to fill out and sign. It concludes with a 10-page limit for the nomination write-up describing the nominee's accomplishments, impact, awards, and other relevant information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    56 views3 pages

    2017 HAP Nomination Form 1 (LB and Pag - Indiv)

    Uploaded by

    Christopher Martin Gunsat
    This document appears to be a nomination form for outstanding government workers for the Presidential Lingkod Bayan and Civil Service Commission Pagasa Award. It requests information about the nominee such as their name, position, agency, and contact details. It also includes spaces for the nominee's photo and signature. The form continues with sections for the nominator and certifying officials to fill out and sign. It concludes with a 10-page limit for the nomination write-up describing the nominee's accomplishments, impact, awards, and other relevant information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    HAP Form 1

    SEARCH FOR OUTSTANDING PASTE

    GOVERNMENT WORKERS 1 ½” x 2”
    (Presidential Lingkod Bayan and Civil Service Commission Pagasa Award)
    (passport size)
    For Outstanding Work Performance
    Photo here
    Individual Category

    ☐ Presidential Lingkod Bayan ☐ Civil Service Commission Pagasa

    Name:       Signature:                


    Position:       Date of Birth:      
    Residence Address:             Place of Birth:      
         
    Telephone/Cellphone Nos:      
    Agency/Region:                 Level of Position: ☐ 1st Level
    Agency Address:       ☐ 2nd Level (Executive Managerial)
          ☐ 2nd Level ☐ 3rd Level
          ☐ Military ☐ Elective
    Telephone/Cellphone Nos:       Email address:      
               
    OFFICE / REGIONAL HEAD
    Name:      
    Position:      
    Telephone / Cellphone Nos.:      
    Email address:      
    SECRETARY OF DEPARTMENT / AGENCY HEAD
    Name:      
    Position:      
    Agency Address:           
    Telephone/Cellphone Nos.:      
    Email address:      
    NOMINATOR
    Name:            Position:      
    Agency:       Telephone/Cellphone Nos.:      
    Agency Address:            
          Email add:      

    Additional Information about the Nominee:


    Were you a previous HAP Nominee? ☐ Yes ☐ No What year: _____ What Award Category:
    _____ you a previous HAP Semi-finalist? ☐ Yes ☐ No What year:
    Were What Award Category:
    _____

    _____ you a previous HAP Awardee?


    Were ☐ Yes ☐ No What year: What Award Category:
    _____

    _____
    Nomination Write-up:
    (Maximum of 10 pages, A4 size bond paper, Arial #12 font, including executive summary)
    Name of Nominee: Agency:       Division/Unit:      
    Position:                  
    Length of Service in the Position:       In Government:            

    I. Executive Summary

    Click here to enter text.

    II. Significant Accomplishment/s within the Last Three Years (Description of the Project/Work Accomplished, Strategies/Activities Done and Problems Encountered)
    The nomination of heads of offices and agencies including that of the Local Chief Executives should reflect their individual accomplishments)

    Click here to enter text.

    III. Impact of Accomplishments (Indicate problems addressed, savings generated, people/office benefited and transactions facilitated. Indicate whether or not the accomplishments are
    part of the nominee’s regular functions/mandated or the product of his/her/their own initiative. If part of nominee’s regular duties or mandated, justify why the accomplishments are considered
    exemplary or extraordinary) For Presidential Lingkod Bayan Category: What was the impact of the extraordinary contribution to national public interest? For CSC Pagasa Category: What was the
    impact of the Outstanding contribution to more than one department of the government?

    Click here to enter text.

    IV. Other Information (Major Awards/Citations Received/Membership in the Organization)

    Click here to enter text.

    CERTIFICATION
    We attest to all facts contained herein and authorize the use of these information for publication. We understand that the Committee on Awards will validate the accuracy of
    the information contained in this form and grant our consent to the conduct of a background investigation. Any misrepresentation made by the signatories shall be a ground
    for disciplinary action pursuant to applicable Civil Service laws and rules.

    Printed Name and Signature:

                     


    Nominee Nominator PRAISE Committee/Highest HRMO Regional Office Head

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