2013 Dfa Fso Form

7/29/2019 2013 Dfa Fso Form

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Republic f the PhilippinesDEPARTMENT F FOREIGN FFAIRS

BOARDOF FOREIGN ERVICEEXAMINATIONS

APPLICATIONORTHEFOREIGN ERVICE FFICER XAMINATIONS

INSTRUCTIONS:1. Allquestions us tbe answeredully n he applicant'swnhandwritingin black nk,using penor a ballpenwithall blanksilled-in.A lineordash s not deemed n answer.f the entry s not elevant r there s noanswer, leasewriteN/A.

2. Theapplicant ustcomplete ll he necessaryequirementsndicatedin the examinationnnouncement,ttachingaiddocumentsecurelyto hisapplication.

3. lf more space is needed or the answers o some questions, heapplicant ayusea clean heetof 8 % n.x 13 n.bondpaper. ollowthe same ormatas in the applicationorm and number he answersaccordingly.

4. Dulyaccomplishedotarizedpplicationormshould esubmitteds ollows:

o For those submittingo the BFSESecretariat, FA MainOffice,Manila, ne (1 ) dulyaccomplishedotarized pplicationormwithattachments;

. For those submitting o the DFA Regional Consular Offices or to PhilippineEmbassies/Consulates,ne (1) duly accomplished otarizedapplicationorm withattachments ndone(1)photocopyf he complete et of documents.

5. Applicationormsshallbe dulyaccomplishedy he applicants nd submittedn person, otlater han 25 January 2013 at any RegionalConsularOfficeor Philippine mbassyorConsulate broad, nd not ater han 31 January2013unti l 5:00p.m.only at the DFAMainOffice.Applications hall no lonqerbe acceptedbevond he set deadlines.

6. Incompletepplicationorms hallno tbeaccepted.7. Any false,misleading r fraudulent tatements nowinglymade by the applicant hall be

sufficient ause for the cancellation f his/her est papers, emoval rom office f already

appointed, ndprosecutionor perjury.8. Applicants hodo not ollow he oregoingnstructionshallnotbe allowedo take he ForeignServiceOfficerExaminations.

1. Name:

1 -112 in . x 2 in .Photograph

Surname FirstName

2. Place f birth:Age:Citizenship(s):

3. CivilStatus:

MiddleName Name ExtensionJr/Sr/ll)

Dateof birth:_Qo- '

Religion:

lf Married, ameof spouse:

Sumame FirstName Middle Name

Citizenship(s)f spouse:. In case of a Muslim, leaseenumerate ameand citizenshipsf all spouses Use

separate heet f necessary). In caseof a foreigner pouse, he application il lstillbe broughto the attention f the

Secretary f ForeignAffairs, or approval.Additional ocumentaryequirements ayalsobe required f he applicant.

4. Homeaddress:

Period f Residency: romHome elephone umber:E-mailaddress:

Officeaddress:

To

Officeelephone umber:

Mobile umber:

7/29/2019 2013 Dfa Fso Form


6. Present m ! Government n Private

8. Civil Service Board Bar I Other GovernmentExaminations assed useseparateheetfnecessary)

Name f Examination Ratinq Dateof Examination Place f Examination

9. Character eferences:Give he namesof three 3) Filipino itizens f goodstandingwhocanvouch orvour moral haracterexcludee

10.Haveyou ever been accusedof, indicted r tried, or violation f any law, ordinance rregulation,efore nycourt,military rpoliceribunal, r other imilar uthority? n Yes r No

lf yes, give he date of the complaint r indictment ndstate ully he natureof the offense.certified opy of the order or decisionof the court or tribunalshall be submittedwith thisapplication.

11. n caseyou pass he ForeignServiceOfficerExaminations,ill you assume our positionwithin one (1) year after you have been notifiedof your appointment s FSO lV by thePresident f the Philippines,nd do you agree hat refusalor failure o do so within hespecifiedperiod would result n the droppingof your name from the rosterof eligibleapp l i can ts? !Yes tNo

12 .For applicantswith more than one citizenship. In caseyou pass he ForeignServiceOfficerExaminations, illyousubscribe ndswear o an oath of allegianceo the Republic fthePhilippinesnd tsdulyconstituteduthorities,nd enounceourallegianceo al lother

countries? Yes n No n NotApplicable

Length f Experiencen

Length f ExperiencenPresent ob/Position

ADDRESS|IELEPHONERMOBILE O.

7/29/2019 2013 Dfa Fso Form


13. Haveyou aken he Foreign erviceOfficerExaminationsefore? n Yes n Nolf yes,statehowmany imesyou have aken he following SOcomponent xaminationsndthe datesof hoseexaminations.1. Qualifyingest2. Preliminarynterview3. Written est4. PsychologicalTest

5. OralTest

14.ForeignLanguage est.Please heck he foreign anguage ouwish to beexaminedn.O Arabic

O GermanO Bahasandonesia O Chinese O FrenchO Japanese O Spanish

15.Please heck he testingcenterwhereyou intend o take heQualifying est.O Baguio ityO Lucena ityO Metro anilaO LegazpiCityO SanFernandoity, aUnion

OSanFernandoityPampanga

O BacolodCity O Cagayan eOroCity

O CebuCityO lloilo ity

O DavaoCity

O GeneralSantosit yO TaclobanCity O Zamboanga ity

I understandhat the BFSEreserves he rightnot to conduct he Qualifying est in any of theabove-mentionedesting enters epending n he number fqualified xamineeshereat.

I hereby gree o paya non-refundabledmissionee of P500.00 eforeaking heQualifying estuponacceptancef my application.

I herebyattach he followingdocuments/requirementss integralpartsof this application:1. CertifiedTrue Copy (CTC)of transcriptof records rom collegeor university, earing

sealof the collegeor university;2. CertifiedTrueCopy(CTC)of diplomaor certificate f graduation;

3. Proofof pastor presentemployment r furtherstudies;4. Originalbirthcertificatessuedby the NationalStatisticsOffice

. For those born abroad:Reportof Birth at Postmay be submitted n case no birthrecord s availableat NationalStatisticsOffice NSO).The Reportof Birthshallbedulyauthenticatedy the ssuingPost.A certificationf non-availabilityf saidbirthcertificaterom he NSOshallbe submitted longwith he Reportof Birth.

. Fo r a Philippine itizenwho has dual or multiple itizenships. notarized ffidavitstating hatuponpassinghe examination,e/she ntendso renounce is/her athof allegianceo his/herothercountries f citizenship; e/shemust also submitanotarized ffidavit tating hat he/she s a permanentesidentn the Philippines.

5. For marriedapplicants:CertifiedTrueCopy (CTC)of marriage ertificatessuedby theNationalStatisticsOffice. lf marriedto a foreiqner,he/she must secure from the

Secretarvof ForeionAffairs. hrouqh he Board of ForeiqnServiceExaminations,authoritvo take he FSOExaminations.

6. Eight 8)pieces1-1l2in. 2in.blackandwhiteor colorstudiotaken hotographs,akenwithinsix (6)monthsbefore he dateof the examination, howing he full rontalviewofthe aceof he applicant ith a name ag, .e .JuanM. delaCruz,Jr.;and

7. Two (2)self-addressed nd self-stampedenvelopesmarkedas priority mail.

I herebyacceptall decisionsmadeby the Boardof ForeignServiceExaminationsertinento myapplication.

7/29/2019 2013 Dfa Fso Form


OATHOF APPLICANT

, afterhavingbeendulysworn naccordance ithlaw, herebydeclare hat the foregoinganswers o the questionsn this applicationo take theForeignServiceOfficerExaminationsre rueandcorrect o the bestof my knowledge nd belief;

that I have not knowinglymade any false, misleadingor fraudulent tatement,and that Iunderstandhat any false, misleading r fraudulent tatement nowinglymade by me shall besufficient ause or the cancellation f my examination apers, emoval rom office f alreadyappointed,ndprosecutionor perJury.

Signature fApplicant verPrintedName

SUBSCRIBEDAND SWORN TO before me this day ofAffiant isplayingo me his/herResidence ertificate o.

Passporto. issued t

Notary ublic/Administeringfficer

ator

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2013 Dfa Fso Form