csc_spel

1. 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
/ERPO/PSD/MLGR/LQC/GPL/masfm.041112.b
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