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Written Exam Form

CESB application form for Civil Executive Board written exam

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Republic of the Philippines

APPLICATION NO.

CAReeR eXeCUTIVe SeRVICe BOARD
No. 3 Marcelino St., Holy Spirit Drive, Quezon City
Tel. Nos. 951-4981 or 85 (trunkline) loc. 118 and 832
Website. www.cesboard.gov.ph

CES Written Examination

Recent
2” x 2”
Photo

Application Form
IMPORTANT: READ THE ‘NOTICE TO APPLICANT’ BELOW BEFORE ACCOMPLISHING THIS FORM
DO NOT APPLY IF YOU ARE NOT QUALIFIED.
NOTICE TO APPLICANT

1. An applicant must be a Filipino Citizen of good moral character and possesses the following requirements:
A. Government Sector, Career Service
A.1 He/she must have been appointed to a CES position; or
A.2 He/she must have been designated in an Acting Capacity or Officer-In-Charge (OIC) of a CES position for at least
six (6) months; or
A.3 He/she must have been appointed to at least a Division Chief position (SG-24) and possesses at least two (2)
years managerial experience.
B. Government Sector, Non Career Service
He/she must have been appointed to a non-career position whether under coterminous or contractual status in any department
or agency of the government with at least three (3) years managerial experience, and has served the government for the same
period at the time of his/her application; provided he/she must have been occupying a position equivalent or higher than a
Division Chief (SG-24).
C. Private Sector
Outstanding men/women from outside the government may be allowed to take the written examination; provided he/she falls
under any of the following categories:
C.1 A proprietor who is performing managerial/supervisory functions for at least three (3) years; and,
C.2 An incumbent of a managerial position exercising supervisory functions, as defined under these rules, for a minimum
period of three (3) years.
2. The following documents shall accompany this application form upon filing:
A.

Copy of appointment paper to present position authenticated by the office personnel / administrative officer;

B.

Service record authenticated by the office personnel/administrative officer;

C.

Copy of the designation order duly authenticated by the office personnel/administrative officer in case the applicant
is presently designated in an acting capacity or officer-in-charge of a CES position for at least six (6) months;

D. Organizational Chart showing the applicant’s place in the organization and duly certified by the Office Personnel/
Administrative Officer;
E.

Three (3) identical photographs, (size 2” x 2”) with full name tag that includes the surname, first name and middle
initial taken not more than six (6) months before the filing of the application. Only two (2) of the three (3) 2” x 2”
photographs shall be submitted upon filing of the application. The applicant shall keep the third 2” x 2” photograph and
shall bring the same on the day of the examination for posting in the examinee seat plan. Pictures that are scanned,
photocopied or computer-enhanced will not be accepted;

F.

Admission fee of ONE THOUSAND PESOS (P1,000.00) either in CASH or in POSTAL MONEY ORDER payable to
the CAREER EXECUTIVE SERVICE BOARD. PERSONAL CHECKS WILL NOT BE ACCEPTED;

G. Photocopy of a valid Identification Card (ID) containing the applicant’s picture, signature, birth date and signed by
the Authorized Official;
H. Self-stamped envelope with complete mailing address; and,
I.

Long, brown envelope

3.

Please make sure this form is completely filled up. Only applications with complete requirements, i.e. items A, B, C, D, E, F,
G, H and I will be processed;

4.

Applications that will be submitted after the deadline will automatically be included in the batch of applications that will be
processed for the next exam schedule; and,

5. Accomplished application forms must be filed directly with the Career Executive Service Board, No. 3 Marcelino St., Holy
Spirit Drive, Diliman, Quezon City either personally or by mail. For inquiries, you may contact Tel. nos. 951-49 81 or 85
(Trunkline) locals 118 & 832
Note: Applicants who fail to meet the cut-off-score may be allowed to retake the test only after six (6) months reckoned from
the date of his/her last examination.
THIS FORM IS NOT FOR SALE. REPRODUCTION IS ALLOWED.

more information at the back

A. PERSONAL CIRCUMSTANCES
1. SURNAME

FIRST NAME

MIDDLE NAME

2. Name of Office and Office Address (please indicate the zip code)

3. Contact Numbers:
Tel. / Fax No(s):

Mobile No.:
4. Home Address

Email Address:

5. Date of Birth

6. Place of Birth

7. Age

8. Sex

9. Citizenship

10. Civil Status

11. Height (Meters)

12. Weight (Kilos)

14. Religion

15. Identifying Marks

Single

Female

Married

Widow/er
13. Language/s or Dialect/s
Spoken

Male

Separated

Annulled

16. Name of Spouse (if married) _____________________________________
Children ___________________________________________________ Gender __________________ Birthdate ______________________
_________________________________________________________

____________________

________________________

_________________________________________________________

____________________

________________________

B. WORK EXPERIENCE
17. Title of Present Position

Present Employment:

Government Sector

18. Date Appointed to Present Position

20. If designated in OIC/Acting capacity, state present designation (Please attach certified true
copy of the designation/special order.)

Private Sector
19. Salary grade

21. Date designated as
OIC/Acting

22. Your duties (as per official designation). Please use separate sheet if necessary:

23. Employment History in managerial positions (use separate sheet if necessary)
POSITION / OFFICE

INCLUSIVE DATES

SALARY GRADE

C. EDUCATION (please use separate sheet, if necessary)
Level of
Education

School
Graduated

Inclusive Dates

Degree Received

Academic
Honors Received

College

Graduate
(MA/MS)
Post
Graduate(Ph.D.)

Vocational

Others

D. SCHOLARSHIP/S RECEIVED
Title

__________________________________________ Title

_____________________________________________

Sponsor __________________________________________ Sponsor _____________________________________________
Inclusive Dates ____________________________________ Inclusive Dates ________________________________________
Local

Foreign

Local

Foreign

E. MAJOR CIVIC & PROFESSIONAL AFFILIATION/S
Organization ______________________________________ Organization __________________________________________
Position

______________________________________ Position

__________________________________________

Inclusive Dates ____________________________________ Inclusive Dates ________________________________________

F. IMPORTANT STUDIES/RESEARCHES/PAPERS WRITTEN
Title

______________________________________ Title

___________________________________________

Publisher

______________________________________ Publisher

___________________________________________

Date

______________________________________ Date

___________________________________________

G. AWARD/S RECEIVED
Title

______________________________________ Title

___________________________________________

Sponsor

______________________________________ Sponsor

___________________________________________

Date

______________________________________ Date

___________________________________________

H. FIELD/S OF SPECIALIZATION / EXPERTISE
Agrarian Reform

Health & Medical Science

Social Services

Agriculture
Arts/Humanities
Business Mgmt.
Communication Arts

Information Tech. / M.I.S
Labor Administration
Law
Local Gov’t Administration

Sports
Telecommunications
Tourism
Trade & Industry

Culture
Economics
Education
Energy Dev’t & Mgmt.
Environment & Natural Resources

Nat’l Security & Defense
Planning
Policy Administration/Mgmt.
Public Works & Highways
Research

Transportation
Urban Development
Project Management
OTHERS, Please Specify
_______________________________________

Finance
Foreign Affairs

Rural Development
Science & Technology

_______________________________________

I. ELIGIBILITY ACQUIRED (Civil Service/Board/Bar Examinations Passed)
Title

Date Taken

Place

Rating

J. MANAGEMENT AND SPECIAL TRAINING/S ATTENDED
Title

_________________________________________________________________________________________

Sponsor

_________________________________________________________________________________________

Inclusive Dates _________________________________________________________________________________________
Venue

_________________________________________________________________________________________

Title

_________________________________________________________________________________________

Sponsor
_________________________________________________________________________________________
Inclusive Dates _________________________________________________________________________________________
Venue
_________________________________________________________________________________________

K. OTHER INFORMATION
24. Have you ever been dismissed from any employment, forced to resign, or otherwise disciplined as a result of an administrative
case? If “yes”, state the nature of the charge and penalty.
25. Do you have any pending administrative or criminal case? _____ If “yes”, state the nature of the case and where it is pending.

26. Have you ever been arrested, accused or convicted for any violation of law or ordinance before any court, or have you been
charged with or tried for any breach or infraction of military, or police discipline before any tribunal or authority?
If “yes”, state the nature of the charge and penalty.
27. Have you taken the CES Written Exam before? _________ If “yes”, please specify the date/s. ________________________

TO BE FILLED-UP BY THE HEAD OF PERSONNEL/ADMINISTRATIVE DEPARTMENT
Note: For those designated in an acting capacity or officer-in-charge of a CES position.
This is to certify that Mr./Ms. ____________________________ of this Agency/Office has been in an acting capacity or officer-incharge of a Career Executive Service (CES) position for at least six (6) months.
_______________________________________
NAME and ADDRESS OF AGENCY/OFFICE

_________________________________
NAME & POSITION OF HEAD OF
PERSONNEL/ADMINISTRATIVE DEPARTMENT
(Signature over Printed Name)

TO BE FILLED-UP BY THE HEAD OF PERSONNEL/ADMINISTRATIVE DEPARTMENT
Note: For those occupying Division Chief (SG-24) and other managerial positions in the career/non-career service
(government sector) and those in the private sector.
This is to certify that Mr./Ms. ____________________________ of this Agency/Office has been performing supervisory/ managerial
functions (i.e. directing & approving work outputs of employees; delegating functions to the staff; monitoring & rating employees'
performance based on duly approved performance targets; & supervising the unit/division based on the staffing pattern/organizational
structure), and supervising/managing _____________ staff for ____________ years now.
(number of staff)
(number of years)
____________________________________
NAME and ADDRESS OF AGENCY/OFFICE

_________________________________
NAME & POSITION OF HEAD OF
PERSONNEL/ADMINISTRATIVE DEPARTMENT
(Signature over Printed Name)

L. NAME/S & POSITION OF SUPERIOR/S
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

NAMES & POSITION OF SUBORDINATES
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_______________________________________________________________________________________________________________________________________________

______________________________
NAME AND POSITION OF HEAD OF PERSONNEL/
ADMINISTRATIVE DEPARTMENT

(Signature over Printed Name)

M. TESTING CENTER PREFERENCE
(Request for change in testing center is not allowed)
Manila

Cebu

Davao

Date of Examination

I DECLARE UNDER THE PENALTIES OF PERJURY THAT THIS APPLICATION HAS BEEN ACCOMPLISHED IN GOOD FAITH, VERIFIED BY ME AND TO THE BEST
OF MY KNOWLEDGE AND BELIEF, IS A TRUE, CORRECT AND COMPLETE STATEMENT PURSUANT TO THE PROVISIONS OF PERTINENT LAWS, RULES AND
REGULATIONS OF THE REPUBLIC OF THE PHILIPPINES.

Signature of Applicant

Date

Right Thumbmark
Printed Name and Signature of
Collecting Officer

Date: ____________________________
O.R. No. _________________________
Amount: _________________________

I LIKEWISE AGREE THAT I WILL SUBJECT MYSELF TO A VALIDATING EXAMINATION IN CASE THE TEST RESULTS IN MY PLACE OF EXAMINATION ARE
FOUND TO BE STATISTICALLY IMPROBABLE.

Subscribed and sworn to before me this ________ day of __________________ 2011.

ADMINISTERING OFFICER

POSITION/OFFICE

(Printed Name/Signature)

NOTE: The Administering Officer may be one of the following: Office Personnel or Administrative Officer,
Legal Officer, Head of Agency or Notary Public.

(Do not fill-up this portion. For Processor/s only)
ACTION TAKEN: APPROVED [ ]

DISAPPROVED [ ]

DATE___________

_____________________________________
Printed Name and Signature of Processor

APPLICATION

RECEIPT

(This serves as a Notice of Admission)
Printed Name and Signature of Collecting Officer

Date: ________________________________
O.R. No. _____________________________
Amount: _____________________________

Application No. ______
Received the application for the: CES WRITTEN EXAMINATION

Printed Name of Processor: _________________________

Recent
2” x 2”
Photo

Signature of Processor: _____________________________

Date Received/Processed: __________________________

DATE : ____________________ _ TIME: ______________CENTER: ___________________________
SCHOOL:___________________________ ADDRESS:_______________________________________
ROOM No.____

Applicant's Printed Name: _______________________________________________________________________________
Birthdate:

____________________________________________________________________ Sex: ___________________

Signature: ____________________________________________________________________________________________

BRING THE FOLLOWING ON EXAMINATION DAY:

1.) This Application Receipt; 2.) Valid Office Identification Card (ID); 3.) Pencil (Mongol No. 2); 4.) Ruler; 5.) One (1) 2” x 2”
photograph; 6.) Calculator (Calculators from Cellular Phones, Personal Digital Assistant (PDA) and similar gadgets shall not be
allowed).
REMINDERS:
1.

Examinees are required to be at the examination venue by 7AM. Tardiness and/or failure of the applicant to present
his/her application receipt will be a sufficient ground to disqualify him/her from taking the examination.

2.

An applicant who fails to present a valid Office Identification Card (I.D.) will not be allowed to take the examination.

3.

A qualified applicant who failed to receive his/her Application Receipt five (5) days before the date of examination
should notify the Career Executive Service Board at No. 3 Marcelino St., Holy Spirit Drive, Diliman, Quezon City or may
contact Tel. Nos. 951-49 81 or 85 (Trunkline) locals 118 & 832.

4.

The Examination Fee of P1,000.00 shall be forfeited in case of non-appearance of the applicant during the
examination day.

5.

Request for changes must be made in writing two (2) weeks before the examination schedule.

6.

Please bring snacks.

7.

.
 
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