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MQCPI-QMS-GM-08-2012-001 MQCPI COMMUNITY QUALITY MANAGEMENT SYSTEM DEPARTMENT AUGUST 24, 2012 : UPDATE OF PERSONNEL PROFILE
FROM : DATE : RE
In preparation for the Regional Quality Assessment Team (RQAT) inspection for government recognition of the two programs namely Bachelor of Elementary Education (BEEd) and BS Information technology (BSIT), all are hereby requested to accomplish the following forms and forward to your respective group secretaries, on or before September 21, 2012 (Friday): GROUP Academic Group (Teaching) Academic Group (NonTeaching) Administrative Group Integral Formation Group (Non-Teaching) Integral Formation Group (Teaching) ACCOMPLISH FORM: ANNEX A Faculty Information Sheet ANNEX B Personnel Information Sheet ANNEX B Personnel Information Sheet ANNEX B Personnel Information Sheet ANNEX A Faculty Information Sheet SUBMIT TO: Ms. Joanna Penaranda Ms. Joanna Penaranda Ms. Jacquelyn N. Lozano Ms. Jenny Rose G. Mariano Ms. Jenny Rose G. Mariano
Rest assured that submitted information shall be dealt with utmost confidentiality. Thank you for your usual support.
Recommending Approval: Dr. Leticia D. Flores VPAA Approved by: Mr. Michael B. Lapid President Engr. Gregorio G. Maniti II Administrative Group Head
Kindly provide the necessary information. Do not leave any space blank. Put N/A in case information is not applicable.
Zip Code:
Philhealth No.:
TIN:
Civil Status:
Single Married Separated Widowed Widower
Civil Status
Educational Attainment
Birthday
Civil Status
Educational Attainment
OTHER INFORMATION
Computer Knowledge/Skills: Special Skills/Hobbies:
Person to Notify in case of Emergency: EMPLOYMENT INFORMATION Employment Status: Full Time Part Time Previous Employment: Position
Relationship:
Address:
Term of Appointment:
Annual Salary:
Term of Employment
Organization
Subjects Taught:
Year Graduated
Baccalaureate
Masters
Doctorate
Membership in Professional Organization Association ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ Declaration of Dependents
Years of Membership _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Pag-Ibig Others (Pls. Specify)
PhilHealth
Dependents Name
Age
Relationship
Zip Code:
Street
SSS No.:
Barangay/Village
Philhealth No.:
City/Municipality
TIN:
Province
Gender:
Male Female
Birthday: ________
(mm/dd/yyyy)
Civil Status
Educational Attainment
Birthday
Civil Status
Educational Attainment
OTHER INFORMATION
Computer Knowledge/Skills: Special Skills/Hobbies:
CONTACT INFORMATION Mobile No.: ___________________ Tel. No __________________ Business No.: __________________ Fax No.: _____________ Email Address: ____________________
Person to Notify in case of Emergency: EMPLOYMENT INFORMATION Employment Status: Full Time Part Time Previous Employment: Position
Relationship:
Contact No:
Address:
Term of Appointment:
Annual Salary:
Term of Employment
Organization
Subjects Taught:
Year Graduated
Baccalaureate
Masters
Doctorate
Years of Membership ______________________________ ______________________________ ______________________________ PhilHealth Pag-Ibig Others (Pls. Specify)
Relationship