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Notice and give my consent to the collection and processing of my personal data
in accordance therewith.
*Status of Appointment can be either of the ff.: Permanent, Contractual, Prt-time or Probationary.
VII. 21 st CENTURY SKILLS - Check five (5) skills you possess (self-assessment)
Innovation Creative Problem Solving Planning and Organizing
Team Work Problem Solving Social Perceptiveness
Multitasking Critical Thinking English Funcitonal Skills
Work Ethics Decision Making English Comprehension
Self Motivation Stress Tolerance Math Funcitonal Skills
VIII. TECHNICAL SKILLS ACQUIRED WITHOUT FORMAL TRAINING
Carpentry Plumbing Photography Others: ________________
Masonry Driving Hairdressing
Welding Gardening Cooking
Auto Mechanic Tailoring Baking
CERTIFICATION/AUTHORIZATION
This is to certify that all data/information that I have provided in this form are true to the best of
my knowledge. This is also to authorize the DOLE to include my profile in the Skills Registry System,
which is maintained in the PhilJobNet. It is understood that my name shall be made available to
employers who have access to the Registry. I am also aware that DOLE is not obliged to seek
employment on my behalf.
_______________________ ___________
Signature of Applicant Date
FOR USE OF PESO ONLY. PLEASE DO NOT WRITE BELOW THIS DOTTED LINE.
Eligble for public employment services? Assessed by:
SPES
GIP
TUPAD ____________________________________ _________
JobStart Signature over Printed Name of Assessor Date
Others (specify): __________________