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Learning and Development Nomination Form: Science and Technology Information Institute

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Republic of the Philippines

SCIENCE AND TECHNOLOGY INFORMATION INSTITUTE


STII Building,DOST Complex, Bicutan, Taguig City

LEARNING AND DEVELOPMENT NOMINATION FORM

Division

Course

Fund Source

No. of Terms /
School Year Semesters

Recommended Employee Position

Checklist of Basic Requirements

Must have rendered at least two (2) years of continuous service in the DOST System;

Have obtained a performance rating of at least Very Satisfactory (VS) for the last two consecutive rating
periods;

Have no pending criminal or administrative case;

Have no on-going financial obligation due to non-completion of a previous training as certified by HR


Section or DOST-HRDP;
The nominee’s present duties and responsibilities must be relevant to the field of study

Recommended by: Approved by:

Employee Division Chief Director


Date: Date: Date:

SDC COMMITTEE RECOMMENDATION

Chairperson

Member Member

Member Member

Member Member
Republic of the Philippines
SCIENCE AND TECHNOLOGY INFORMATION INSTITUTE
STII Building,DOST Complex, Bicutan, Taguig City

LEARNING AND DEVELOPMENT NOMINATION FORM

Division Date submitted

Title of
Training
Date of
Training Provider
Training

Fund Source Amount

Recommended Participant/s (in order of priority) Position

Reason/s for Nomination

Recommended by: Recommending Approval: Approved by:

ARLENE E. CENTENO RICHARD P. BURGOS


SDC Chairperson Director
Date: Date: Date:

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