CS FORM No. 100 (Revised September 2016) . This Form is NOT for sale. Reproduction is allowed. APPLICATION NO.

APPLICATION FOR CIVIL SERVICE EXAMINATION

To be filled-out by Applicant For CSC Processor ONLY
Examination Applied For : CSC Regional Office
Mode Pen and Paper Test (PPT) ID PHOTO
Computerized Examination (COMEX) Date of Examination (mm/dd/yyyy)
Title CSE-Professional
(see Specifications at
CSE-SubProfessional
Others Place of Examination
the back)

Last Examination Taken : (for Career Service Examination Applicants only)

CSE-Professional CSE-SubProfessional Verified against:
DIBAR E-Retakers EDQIS
Date of Exam (mm/dd/yyyy)
Instructions : READ ADMISSION AND APPLICATION REQUIREMENTS AT THE BACK PAGE. DO NOT APPLY IF NOT QUALIFIED.
Fill in all the required information. DO NOT leave an item blank. If item is not applicable, indicate “N/A”. All applications must be filed PERSONALLY by applicant.

NAME (Last Name) (First Name) (Ext. Name, e.g. Jr./Sr., if any) (Middle Name) (M.I.)
(e.g. De La Paz = D, P, or DLP; Dela Paz = D, P, or DP)

AGE DATE OF BIRTH (mm/dd/yyyy) SEX PLACE OF BIRTH (City / Municipality) (Province)
Male Female
CITIZENSHIP MOTHER’S MAIDEN NAME ( Last Name) (First Name) (Middle Name)

COMPLETE PERMANENT MAILING ADDRESS ZIP CODE

HEIGHT (meters) WEIGHT (kg) CIVIL STATUS OTHER DATA

. . Single Married Others Pregnant Person with Disability, please specify
MOBILE NUMBER (Required) TELEPHONE NUMBER (include Area Code) E-MAIL ADDRESS (Required)

Level of Education: Elementary High School College Master’s Doctorate

Completion: Not Graduated Graduated If not graduated, highest Year/Level/Units earned:

If graduated, date of Graduation/Completion (mm/dd/yyyy): Honors received:

Complete Title of Course/Degree (for College, Master’s, Doctorate): Major:

Name and Address of School Attended: Inclusive years:

(from-to)

Title of Examination Passed / Title of Eligibility Granted Rating Obtained Date of Examination / Place of Examination
Date Eligibility Granted

Government Private Non-government Organization Self-Employed Unemployed

No. of Years in Present Status of Appointment/

Agency/Office Address Position/Job Title
Position/Job Employment

1. Have you ever been dismissed from the military/civil service for cause, or found guilty of crime involving moral turpitude, or of infamous, disgraceful
or immoral conduct, drunkenness or addiction to drugs, or of an offense relative to, or in connection with, the conduct of a civil service
examination? YES NO IF YES, attach copy/ies of decision/s.
2. Pursuant to the Indigenous People’s Act (RA 8371), are you a member of any indigenous group? YES NO
If YES, please specify:

DO NOT FILL-OUT THE SHADED PORTION. (FOR CSC PROCESSOR ONLY).

Date:
Identification/Other Documents Presented: Details:
O.R. No.
ACTION TAKEN: APPROVED DISAPPROVED
Amount:
Reason:
Signature over Printed Name of Processor / Date
Name of Collecting Officer

APPLICATION NO.
Date:

O.R. No. Examination Applied For: PPT COMEX Professional SubProfessional Others
Amount: DATE: TIME: PLACE:

Name of Collecting Officer Signature over Printed Name of Processor Date Received / Processed
ID PHOTO

(see Specifications at
the back)
Applicant’s Name:
First Name MI Last Name Ext. Name (i.e. Jr./Sr., if any)

Sex: Male Female Date of Birth (mm/dd/yyyy): Signature:

E. DECLARATION

I declare under oath that I personally accomplished this application form, and I certify that the information given are true, correct, and
complete statements pursuant to the provisions of pertinent laws, rules, and regulations of the Republic of the Philippines. Further, I declare
that I meet and am compliant with all the admission requirements for the examination for which this application is filed.
I understand that the acceptance and approval of my application for the examination is based on the information I provided.
I therefore agree that, in case a post-verification yields information contrary to what is declared, my application shall be disapproved, and
my payment forfeited. I further agree that any misrepresentation made in this document shall cause the invalidation of the result of this
examination and/or the filing of administrative/criminal case/s against me.

Note: Spaces for Signature/Printed Name and Right

Thumbmark of applicant should be left blank.
These shall only be accomplished in the
presence of the Administering Officer/CSC
Processor.
Signature over Printed Name of Applicant Right Thumbmark

Subscribed and sworn to before me this day of , 20 .

Signature over Printed Name of Administering Officer Office / Position

1. Must be Filipino citizen; 1. Fully accomplished Application Form (CS Form No. 100 Revised
2. Must be of good moral character; September 2016);
3. Must have not been convicted by final judgment of an offense or 2. Four (4) pieces of identical I.D. pictures with specifications, as follows:
crime involving moral turpitude, or disgraceful or immoral conduct,  taken within the last three (3) months prior to filing of application
dishonesty, examination irregularity, drunkenness or addiction to drugs;  Philippine passport picture size (4.5 cm x 3.5 cm or 1.78” x 1.38”)
4. Must have not been dishonorably discharged from military service or  colored, with white background and printed on good quality photo
dismissed for cause from any civilian positions in the government; paper
and  in standard close-up shot (from shoulder level up with the head and
5. For Career Service Examination applicants: face occupying at least 80% of the picture and with the name tag
a. must be at least 18 years of age on the date of filing of application. positioned at approximately 1 inch or 2.54 cm. below the chin)
b. must have not taken the same level of Career Service  in bare face (with no eyeglasses, colored contact lens, or any
Examination, regardless of mode, within the last three (3) months accessories that may cover the facial features (facial features not
before the date of examination. computer enhanced)
NOTE: a) Approval of applications may be recalled any time upon  showing left and right ears
discovery of applicant’s disqualification, for which the  taken in full-face view directly facing the camera, with neutral facial
examination fees paid shall be forfeited. expression and both eyes open
b) Applicants holding dual citizenship under R.A. 9225 may  with handwritten (not computer-generated) name tag legibly
apply for and take the examination upon presentation of showing signature over printed full name in the format: First Name,
original and photocopy of Certification of Retention/Re- Middle Initial, Last Name, and Extension Name, if any
acquisition of Philippine Citizenship from the Bureau of 3. Original and photocopy of any of the following I.D. cards, which must be
Immigration, and meeting of all the other admission and valid (not expired upon filing of application), and contains the name,
application requirements for the examination. clear picture, date of birth and signature of applicant, and the name and
c) Applicants with pending administrative and/or criminal signature of the issuing agency’s current head/authorized representative:
cases may take the examination and shall be conferred the Driver’s License, Passport, PRC ID, SSS ID, GSIS ID/ GSIS UMID ID,
eligibility if they successfully pass the same. However, this Philhealth ID (must at least contain the applicant’s name, clear picture,
is without prejudice to the outcome of their pending cases. signature and Philhealth number), current Company/Office ID, current
If they are found guilty, their eligibility shall be forfeited School ID (validated for the current school year/semester/trimester),
based on the penalties stated in the decision and under Postal ID, BIR ID (ATM type/TIN card type with picture), Barangay ID,
existing Civil Service Law and Rules. Voter’s ID, Police Clearance/Police Clearance Certificate, or NBI
d) Passers of the regular Bar examination given by the Clearance (Note: All other ID cards NOT included in the list shall
Supreme Court of the Philippines and of Board NOT be accepted).
examinations given by the PRC are automatically granted 4. For applicants without date of birth in their I.D. card/s, original and
a civil service eligibility. They are automatically considered photocopy of Birth Certificate issued by the Philippine Statistics
as civil service eligibles pursuant to CSC Resolution Authority (formerly National Statistics Office) or the Local Civil Registry
No. 90-1212. Thus, they may opt not to apply and take the printed on Security Paper (SecPa).
corresponding examination anymore. Also, individuals who 5. For applicants holding dual citizenship under R.A. 9225, original and
were granted the Honor Graduate Eligibility (HGE) photocopy of Certification of Retention/Re-acquisition of Philippine
pursuant to P.D. 907 may opt not to apply and take the Citizenship issued by the Bureau of Immigration.
corresponding examination anymore. 6. Examination fee of PhP500 for the CSE-PPT, or PhP680 for the CSC
COMEX. For fees and additional application requirements of other
For specific admission requirements of other examinations, please see
examinations, please see related Examination Announcement.
related Examination Announcement.
WARNING: The Civil Service Commission uses a highly reliable system to detect cheats. Any form of cheating in any civil service examination shall be
considered a violation of Republic Act No. 9416 (Anti-Cheating Law), and any person found guilty shall be administratively and criminally
liable.

A. FOR APPLICANTS OF CSE PEN AND PAPER TEST (CSE-PPT)

Qualified applicants shall be notified of their school assignment through an Application Receipt or a Notice of School Assignment (NOSA) via SMS or e-mail. They can also use as
applicable the Online Notice of School Assignment (ONSA) found in the CSC W ebsite (www.csc.gov.ph) to verify and get a print-out of their NOSA, or access related Exam
Advisory posted in the CSC website. If applicants still do not know their school assignment or cannot get a copy of their NOSA via internet one (1) week before the examination
day, they should visit or call the Regional Office or Field Office where they filed their application to inquire about their school assignment. Applicants are also advised to conduct
ocular inspection of their school assignment one (1) day before examination day. Failure to come on scheduled examination will mean forfeiture of examination fee and slot.
Rescheduling of examination date is NOT allowed.
B. FOR APPLICANTS OF CSC COMPUTERIZED EXAMINATION (CSC COMEX)
Failure to come on scheduled examination will mean forfeiture of examination fee and slot. Rescheduling of examination date is NOT allowed.

IMPORTANT: All personal belongings including articles in clothing (hats/caps, shades, and the like), digital watches/watch calculators, calculators, cellular phones,
books, ipads/tablets, and all other electronic gadgets and printed materials shall be surrendered to the Room Examiners. Firearms, if any, must also be surrendered
to the security guard/designated firearm custodian at the entrance gate of the testing center. Proper attire should be worn on filing of application form and on examination
day (e.g. NOT IN SLEEVELESS SHIRT/BLOUSE, OR IN SHORT PANTS, OR IN SLIPPERS).
MAIN GATES OF TESTING VENUES SHALL BE CLOSED AT 7:30 A.M. ON EXAMINATION DAY.

1. This Application Receipt and/or Notice of School Assignment 3. Black ballpen/s

2. Same valid I.D. presented at the time of filing of application (NO I.D., NO EXAM)