ABCDEFGHIJKLMNOPQRSTUVWXYZ
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CIVIL SERVICE COMMISSION
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Request for Clearance
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* All fields are required*Date:
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(mm/dd/yyyy)
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Requestor's Name*
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LastnameFirstnameM.I.
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Home Address*
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Contact No.*Email Address*
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Present Position*
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Name of Agency*
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Address of Agency*
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I respectfully request your good office to issue a clearance in my favour which shall be used for the purpose/s indicated below: (pls. put an "X")
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Promotion
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Retirement
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Others (pls. specify)
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