Attachment to CS Form No.

212

WORK EXPERIENCE SHEET

Instructions: 1. Include only the work experiences relevant to the position being applied to.

2. The duration should include start and finish dates, if known, month in abbreviated
form, if known, and year in full. For the current position, use the word Present, e.g.,
1998-Present. Work experience should be listed from most recent first.

Sample: If applying to Supervising Administrative Officer

 Duration: February 28, 2020 – present

 Position: Sentinel PNCO 11
 Name of Office/Unit: Regional Headquarter Support Division (RHSD)
 Immediate Supervisor: PEMS William Solenon
 Name of Agency/Organization and Location: Philippine National Police, PROCOR, Camp
Major Bado Dangwa, Alapang , La Trinidad, Benguet

 List of Accomplishments and Contributions (if any)

o Medalya ng Pagtulong sa Nasalanta

o Medalya ng Kasanayan
o Medalya ng Papuri

 Summary of Actual Duties

o Responsible for the conduct of traffic inside the camp, check vehicles entering
the camp and their DECAL and check visitors and issue visitor’s ID Pass and to
perform others task.

(name only/with signature)

(Signature over Printed Name
of Employee/Applicant)

Date: April 5, 2022