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Request for Personnel Records
CSC request for personnel records
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
Integrated Records Management Office
CIVIL SERVICE COMMISSION
REQUEST FOR PERSONNEL RECORDS
Appointment
Others:
Service Card
NAME OF REQUESTING PARTY (Please print )
Employee/Retiree:
Surname
First Name
Maiden Name for married woman:
Middle Name
Date of Birth:
Place of Birth:
Mailing Address:
Purpose of Request:
Accomplished By:
Employee / Retiree
Authorized Representative
Signature over Printed Name
Signature over Printed Name
(Must be duly authorized in writing. Please attach authorizarion letter.)
PERSONNEL DATA (Please print. Please use back portion, if necessary)
POSITION / STATUS
EFFECTIVITY / DATE OF APPOINTMENT/S
ACTION TAKEN
Issued/Released By:
Available Records
No Available Recods
Photocopy
RELEASE OF REQUEST/S
(Printed Name & Signature)
OFFICE / AGENCY
Printout copy
Receiving Officer
RCAD Personnel
Date
Signature of Requesting Party
Date/Time
2nd Verifier
Received By:
1st Verifier
Date/Time
Referred To
Approved By
Issued/Released By
Fee
O.R. No./Date
RCAD Personnel
