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LAMP Application Form

CESB application form for leadership and management proficiency program

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Queuing Number: ______ 

CAREER EXECUTIVE SERVICE BOARD
                        No. 3 Marcelino Street, Holy Spirit Drive, Diliman, Quezon City 1127 
                          (02) 951‐49‐81 locals 108, 109, 113, and 127 

 
APPLICATION FORM
LEADERSHIP AND MANAGEMENT PROFICIENCY (LAMP) PROGRAM
The LAMP is designed for and open ONLY to applicants who are: 1) Career Executive Service (CES) eligibles or
Career Executive Service Officers (CESOs), or are 2) conferred with the CSE eligibility (CSEE) and occupying a
Division Chief position or higher.
I.

Completion and Submission of the LAMP Application Form

Fill-in ALL items. Forms with incomplete information will not be processed. PRINT all entries LEGIBLY and in ALL CAPS.
Mark NA for all items that are not applicable. Send fully accomplished form to the Professional Development Division
(PDD) - CESB by telefax: (0632)952-0335; e-mail: pdd@cesboard.gov.ph; or by mail/ messenger: #3 Marcelino Street,
Holy Spirit Drive, Diliman, Quezon City 1127. CONFIRM receipt by PDD-CESB of the form by calling telephone nos:
(0632) 951-4981 to 88, local 108/ 109/ 113/ 127.
Full Name : ____________________________________________________________ Nickname : _______________________
(Last Name)

Eligibility :

(Given Name)

CESE

CSEE

(Middle Name)

Date of Conferment
of Eligibility: ___________________________________

CESO Rank: _________

Position: _____________________________________________ Office/Agency: ______________________________________
Office Address : __________________________________________________________________________________________
Contact Information : Office Landline No(s): _____________________ Email Address: _________________________________
Office Fax No(s): ________________________ Alternate Email Address: __________________________
Mobile No(s): _________________________________
Date of Birth: _____________________________

Height (in feet): _____________________
Weight (in kilos): ____________________

Civil Status:

Single

Married

Gender:

Male
Female

Others, please specify: _____________ Religion: ______________________________

Dietary Restrictions: __________________________________ Health Concerns: _____________________________________
Health Apparatus/Device being used, if any: ____________________________________________________________________
Person to Contact in case of Emergency: ____________________________________ Contact No(s): _____________________
Indicate LAMP Course you are applying for:

Salamin-Diwa*
*prerequisite to GABAY
Integrated Gabay. Please specify the Salamin-Diwa Session Attended: _________

TERMS AND CONDITIONS
II.

Provisional Acceptance

PDD-CESB will evaluate ALL LAMP course
applications received based on the: 1) set qualification
requirements; 2) class size limit per course, and the; 3)
results of a queuing process. ONLY accepted
applicants will receive a mailed LETTER OF
CONFIRMATION
(LOC),
indicating
provisional
acceptance to the LAMP course, 1 to 2 months before
its scheduled conduct.
III.

Full Acceptance

Full acceptance to the course is achieved ONLY upon
compliance with ALL succeeding procedures and
requirements stated in the LOC. This includes payment
of a RESERVATION FEE (i.e. 50% of the Registration/
Training Fee), which is strictly required to secure a slot
in the LAMP course. PDD-CESB will advise applicants
on the payment mode, procedures and deadlines thru
the LOC. Cancellations made ON or AFTER the
Deadline for Cancellation of Attendance stated in the
LOC will result in the FORFEITURE of the Reservation
Fee.

Version as of June 2016 
 

IV.

Official Notification

CESB will officially notify all fully accepted applicants to the
LAMP course through an information advisory posted on its
website and by an e-mail message sent to the said
applicants not later than two weeks before the conduct of
the said LAMP course.
V.

Official Authority

Attendance in the LAMP course is authorized on
OFFICIAL BUSINESS. Hence, the Registration/ Training
Fee may be charged in full to the agency.
I hereby certify that: 1) all the information herein stated are
true, accurate and complete, and that; 2) I have fully read,
understood, agreed to, and will comply with all the Terms
and Conditions herein stipulated.
________________________________________
Signature over Printed Name
Date: ___________________________________
 
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