REPUBLIC OF THE PHILIPPINES

Department of Budget and Management

Compensation and Position Classification Board
DBM Blg., I General Solano St., San Miguel, Manila

POSITION DESCRIPTION FORM

1. Name of Employee

2. Department / Agency

3. Bureau / Office

4. Department / Bureau / Division

5. Work Station / Place of Work

6. Classification of Position

7. Occupational Services

8. Occupational Group

9. (a) Compensation

(b) Item No.

10. (a) Sal. Per

Annum

(b) Other

11.Describe briefly the general function of the Division Units

12.Describe briefly the general function of the position.
Teach or import knowledge to pupils / students and setting up situations
in
which pupils / students can and will learn effectively and productively
13.Statement of Duties and Responsibilities. (List in the order of
importance starting from the most important duties. If more space is
needed, use additional sheet)
Percentage of working time:
75%
Teaches pupils using appropriate and innovative strategies
Facilitates learning through functional lesson plan and appropriate,
adequate and updated instructional materials
Monitor ad evaluates pupils progress.
25%
Maintains updated pupils performance regularly
Supervises curricular and co-curricular projects and activities
Maintains updated pupils school records
Counsels / guides pupils
Maintains harmonious relationship with colleagues and superiors

14.Position Title of Immediate

15.Position Title of Next higher
Supervisor
Supervisor
Schools District Supervisor
Schools Division Superintendent
16.Name, Position title, Item numbers of those you directly supervise
17.Machine, Equipments, Tools, etc used regularly in performance of work
18.Contacts
General Public
Other Agencies
Supervisors
Management
Others (specify)

19.Working Condition
Occasional
(/)
(/)
( )
( )
( )

Frequent
( )
( )
(/)
(/)
( )

Normal Working Condition

Field Work
Field Trip
Exposed to varied weather
Others (specify)

(
(
(
(
(

/
/
/
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/

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)
)
)
)

20.I CERTIFY that the above answers are accurate and complete.
Date
Signature of Employee
21.(a) Indicate the required qualification by years and kind of education
considered I filling up a vacancy for this position. (keep the positive I
mind rather that the qualifications of the incumbent)
Experience: Volunteer Teacher, Office Works
22.(b) License or certificate to do this work, if any:
Licensure Examination for Teacher (LET)
23.I CERTIFY that the above answers are accurate ad complete.
Date

Signature of Supervisor
24.APPROVED:
___________________
Date
Signature of the Agency Head

CS Form 211 (1997)

SERVICE
MEDICAL CERTIFICATE
For Employment

PHILIPPINE CIVIL

INSTRUCTION
1. This medical certificate should be accomplished by a government
physician
2. Attach this certificate to appointment that are initial, original, or
reinstatement / re-employment

FOR THE PROPOSED APPOINTEE

NAME (Last, First, Middle, or if married woman, Maiden Name)

Agency

Address

Proposed Position

Age

Sex

Civil Status

Pre-Employment Medical-Physical Tests

1. Blood Test
2. Urinalysis
3. Chest X-ray
4. Drug Test
5. Neuro-Psychiatric Examination (if necessary)
NOTE: ALL RESULTS OF EXAMINATIONS MUST BE ATTACHED TO THIS FORM
.

FOR THE PHYSICIAN

I hereby certify that I have personally examined the
abovementioned individual and found her/him, to be
physically and medically fit/unfit for employment.
PRINTED NAME / SIGNATURE
OF PHYSICIAN

CERTIFICATE NUMBER

AGENCY:

OTHER INFORMATION ABOUT

THE APPOINTEE

HEIGHT
(Barefoot
)

OFFICIAL DESIGNATION:

DATE EXAMINED:

DOCUMETARY
STAMP

WEIGHT
(Strippe
d)

BLOOD
(Type)