CSC SPEL Form 1, April 2012

CERTIFICATION OF NO PENDING CASE/ NON-CONVICTION OF ANY OFFENSE

This is to certify that I, ___________________________________________,
(complete name of applicant)

Filipino citizen, of legal age, ______________________________, and a resident of

(civil status)

_____________________________________________________, have no pending

(complete address)

administrative and/or criminal case before any court/authorized body. I, further, certify that I have never been found guilty/convicted of any administrative offense and/or crime. I am executing this Certification in support of my application with the Civil Service Commission Regional Office No. _________ / Central Office for the grant of ___________________________ Eligibility. I understand that any misrepresentation
(type of eligibility applied for)

as to the truth of the foregoing shall cause the disapproval of my application and/or outright revocation of the eligibility granted without prejudice to the filing of administrative and/or criminal case/s against me. Done this _______________ day of _____________________, 20________.

________________________________________
Signature over full printed name of applicant

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