CIVIL SERVICE COMMISSION

Request for Clearance

*Date:

* All fields are required

Requestor's Name*
AMBUEGUIA

KRISTOFFER JOHN

Lastname

Firstname

Home Address*
57 Baybay Lopez, Binmaley, Pangasinan
Contact No.*

Email Address*

09062541810

kjgambueguia@tesda.gov.ph

Present Position*
TESD Specialist II
Name of Agency*
TESDA - Regional Training Center No. 1
Address of Agency*
Quezon Avenue, Catbangen, San Fernando City, La Union
I respectfully request your good office to issue a clearance in my favour which shall be used
for the purpose/s indicated below: (pls. put an "X")
Promotion
Retirement
Others (pls. specify)

Loan Application

10/19/2016
(mm/dd/yyyy)

G.
M.I.

ph

ur which shall be used

Date_Requested
Lastname
10/19/2016 AMBUEGUIA

Firstname
KRISTOFFER JOHN

MI
G.

Home_Address
57 Baybay Lopez, Binmaley, Pangasinan

Contact_No
09062541810

Email_Address
kjgambueguia@tesda.gov.ph

Position
TESD Specialist II

Agency
Agency_Address
TESDA - Regional Training Center No. 1Quezon Avenue, Catbangen, San Fernando City

Purpose
Loan Application

Promotion

Retirement
0

Others
0x

Others_details
Loan Application