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Nomination Form: Regional Office No. IV-B

This document contains a nomination form and background information form for training courses offered by the Commission on Audit Regional Office No. IV-B. The nomination form allows heads of offices/agencies to nominate up to 7 individuals for a course by providing their name, position, and any remarks. The form also includes spaces for the head of office signature, designation, office/agency details, and an area for the RO IV-B to take action on the nominations. The background information form collects an individual's personal details like name, position, education, office details, contact information, dietary requirements, present functions and duties, and a list of previous trainings attended in the past 3 years.

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Maria Danice Angela
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50 views2 pages

Nomination Form: Regional Office No. IV-B

This document contains a nomination form and background information form for training courses offered by the Commission on Audit Regional Office No. IV-B. The nomination form allows heads of offices/agencies to nominate up to 7 individuals for a course by providing their name, position, and any remarks. The form also includes spaces for the head of office signature, designation, office/agency details, and an area for the RO IV-B to take action on the nominations. The background information form collects an individual's personal details like name, position, education, office details, contact information, dietary requirements, present functions and duties, and a list of previous trainings attended in the past 3 years.

Uploaded by

Maria Danice Angela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF THE PHILIPPINES

Commission on Audit
Regional Office No. IV-B
Commonwealth Avenue, Quezon City, Philippines
Telephone Nos. 931-93-04; 951-1346
e-mail address: coa4btraining@[Link]

RNom Form Date Filed:


Revised May 2016 NOMINATION FORM
Course Title:

Date Covered:

WE ARE NOMINATING THE FOLLOWING TO THE ABOVE-NAMED COURSE:


NAME POSITION REMARKS
1.
2.
3.
4.
5.
6.
7.
8.

Head of Office/Agency:

____________________________________
Signature over Printed Name

____________________________________
Designation
Office/Agency: Tel. No. _________________
_________________________
Office Address: Fax Nos.: _________________
_________________________
e-mail address:

FOR: RO IV-B USE ONLY


(Action on Nomination)

NOMINATIONS: SEMINAR:
CONFIRMED CANCELLED
NOT CONFIRMED DEFERRED, NEW DATE____________________

1
BACKGROUND INFORMATION
As of ____________________________

A. PERSONAL DATA:

Name: Nickname:

Birthday: Position/Designation Years in Position:

Age/Sex/Status: Office/Agency: Fax Nos.:

Education (Degree Earned) Office Address: Telephone No:

School: Home Address: Telephone No:

Cellphone Number:
Special Dietary Requirements Strict vegetarian No beef please
Vegetarian No pork please
Other Remarks: Physically Challenged

B. PRESENT FUNCTIONS/DUTIES/RESPONSIBILITIES:

C. TRAININGS ATTENDED FOR THE PAST THREE (3) YEARS:

Course Title Inclusive Dates Place/Venue

(Please reproduce this page if needed)

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