Annex

A1

CS FORM No. 100, Revised 2023. This Form is NOT for sale. Reproduction is allowed. APPLICATION NO.

APPLICATION FOR CIVIL SERVICE

EXAMINATION ID PHOTO
- Philippine passport size
(Pen and Paper Test) - showing 80% face
To be filled out by Applicant To be filled out by Applicant capture
Examination Applied for: CSC Regional Office - in bare face & showing
left and right ears
Career Service-Professional Date of Examination (mm/dd/yyyy) - with handwritten (not
computer generated)
First time to take the examination? : name tag showing
YES NO Place of Examination
signature over printed
If NO, indicate date of last examination taken: full name
(mm/dd/yyyy) Verified against: (For CSC Processor (see illustration & more
ONLY)
DIBAR E-Retakers EDQIS

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”.

NAME (Last Name) (Given 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 (write province only if city name has namesake e.g. San Fernando City, La Union/City of San Fernando, Pampanga; OR Municipality & Province

Male

Female
CITIZENSHIP MOTHER’S MAIDEN FULL NAME (the full name of your mother by birth or before she was
married)
(Last Name) (Given Name) (Middle Name)
COMPLETE PERMANENT MAILING ADDRESS ZIP CODE

CIVIL STATUS OTHER DATA: If PWD, please specify: Orthopedic Deaf/hard of hearing
Single Married Others Pregnant Senior Citizen Visually impaired Others

MOBILE NUMBER (Required) TELEPHONE NUMBER (include Area Code) E-MAIL ADDRESS (Required)

Level of Education: High School/Sr High School Technical/Vocational College Postgraduate (Master/Doctor) Other/s:

Completion: If not graduated/ongoing, highest Year/Level/Units earned, or taking up:

Not Graduated / ongoing
Graduated If graduated, date/year of Graduation/Completion: Honors received:

Complete Title of Course/Degree (except for High School/Sr High School): Major:

Name and Address of School Attended: Inclusive years:

(from-to)

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

Government Private Non-government Organization Self-Employed Unemployed

No. of Years in Status of
Agency/Office Address Position/Job Title
Present Appointment/
Position/Job Employment

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

Date:
Identification/Other Documents Presented: Details:
O.R. No.
ACTION TAKEN: APPROVED DISAPPROVED Reason for disapproval:
Amount:

Name of Collecting Officer Signature over Printed Name of Position/ Date &
Processor Designation Time

APPLICATION NO.
Date:

O.R. No.
Amount: Examination Applied For: Career Service-Professional ID PHOTO
DATE: TIME: PLACE:
- Philippine passport size
Name of Collecting Officer
- showing 80% face
Signature over Printed Name of Position/ Date &
capture
Processor Designation Time - in bare face & showing
left and right ears
Applicant’s Name: - with handwritten (not
Given Name MI Last Name Ext. Name (i.e. Jr./Sr., if any) computer generated)
Sex: Date of Birth (mm/dd/yyyy): Signature:
name tag showing
Male
Female signature over printed
full name
(see illustration & more
 Annex
A1

E. DECLARATION
I declare 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 herein applied for, as enumerated below.
I understand that the acceptance and approval of my application for the examination is based on the information I provided. Further, I understand that: 1) as a result
of randomization procedure, I may and am willing to be assigned at any testing venue within the testing center; and 2) the information I provided herein shall be
handled and used, particularly for policy development/review/research/study purposes, according to appropriate provisions of RA No. 10173 or the Data Privacy Act
of 2012. Finally, I understand that the CSC determines high answer similarities in the processing of test results, and conducts necessary investigation.
I therefore agree that: 1) in case a post-verification yields information contrary to what is declared, my application shall be disapproved, and my payment forfeited; 2)
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; and 3) in case my test results be found to have high answer similarities with other examinee/s, the same shall be withheld pending the outcome of
the investigation to be conducted by the CSC. Finally, I agree that my examination shall not be processed and be considered null and void, or my test results
shall be cancelled, in case a post-examination verification shows that I violated Republic Act No. 9416 (Anti-Cheating Law), specifically the unauthorized possession
of the test booklet, or any examination related forms/materials, including bringing of the same outside of the testing room/venue.

Signature over Printed Name of Applicant Date

Note: (For personal/in-person filing only)

Spaces for Signature/Printed Name and Right Thumbmark of applicant should be left blank. These shall only be accomplished in the presence of the CSC Processor. Right Thumbmark

1. Must be Filipino citizen; 1. Fully accomplished Application Form;

2. Must be at least 18 years of age on the date of filing of 2. Four (4) pieces of identical I.D. pictures with specifications, as
application; follows:
3. Must be of good moral character;  Philippine passport picture size (4.5 cm x 3.5 cm or 1.78” x 1.38”)
4. Must have not been convicted by final judgment of an offense  taken within the last three (3) months prior to filing of application
or crime involving moral turpitude, or disgraceful or immoral  colored, with white background and printed on good quality photo paper (no
conduct, dishonesty, examination irregularity, drunkenness or peeling off)
 in standard close-up shot (from shoulder level up with the head and face
addiction to drugs; occupying at least 80% of the picture and with the name tag positioned at
5. Must have not been dishonorably discharged from military approximately 1 inch or 2.54 cm. below the chin)
service or dismissed for cause from any civilian positions in  in bare face (no eyeglasses; no colored contact lens; no headdress, no bandana, or
the government; and any accessories that may cover the facial features; facial features not computer
enhanced)
6. Must have not taken the same level of Career Service  showing left and right ears
Examination, regardless of mode, within three (3) months  taken in full-face view directly facing the camera, with neutral facial expression
before the date of examination. and both eyes open
 with handwritten (not computer-generated) name tag legibly showing signature
NOTE: a) Approval of applications may be recalled any time upon over printed full name which includes: Given Name, Middle Initial (if any), Last
discovery of applicant’s disqualification, for which the examination Name, and Extension Name (if any)
fees paid shall be forfeited.
b) Applicants holding dual citizenship under R.A. 9225 (Citizenship
Retention and Re-acquisition Act of 2003), and those recognized Shot must be
as citizens of the Philippines under Sec 1, Article IV of the 1987 from shoulder
Philippine Constitution, may apply for and take the examination level up, with
upon presentation of necessary documents, and meeting of all the head and face
other admission and application requirements for the examination. occupying at
c) Applicants with pending administrative and/or criminal cases may least 80% of Name tag approx.
take the examination and shall be conferred the eligibility if they the picture 1 inch or 2.54 cm
successfully pass the same. However, this is without prejudice to below the chin
the outcome of their pending cases. If they are found guilty, their
eligibility shall be forfeited based on the penalties stated in the
decision and under existing Civil Service Law and rules.
d) The Bar examination given by the Supreme Court of the Philippines 3. Original and photocopy of any of the following I.D. cards, which is
and the Board examinations (requiring completion of at least a valid (not expired upon filing of application): Driver’s
bachelor’s degree) given by the Professional Regulation License/Temporary Driver’s License (LTO O.R. must be presented together
Commission are declared civil service examinations under RA No. with old Driver’s License; O.R. alone is not allowed)/Student Driver’s Permit;
1080. Accordingly, and under CSC Resolution No. 90-1212, the Philippine Passport; PRC License; SSS I.D.; GSIS I.D. (UMID); Voter’s
passers are automatically considered as civil service eligibles. I.D./Voter’s Certification; BIR/Taxpayer’s I.D. (ATM type/TIN card type with
Along this line, based on RA No. 10635, passers of the examination picture); PhilHealth I.D. (must have the bearer’s name, clear picture, signature
for marine deck and engine officers given by the Maritime Industry and PhilHealth number); Company/Office I.D.; School I.D.; Police
Authority are considered as falling under the contemplation of RA Clearance/Police Clearance Certificate; Postal I.D.; Barangay I.D.;
No. 1080. Thus, they may opt NOT to take the Career Service
NBI Clearance; Seaman’s Book; HDMF Transaction I.D.; PWD I.D.;
(Professional) examination. Also, passers of the Career Service
Solo Parent I.D.; Senior Citizen’s I.D.; CSC Eligibility Card; and
Examination for Foreign Service Officer, and grantees of the
following eligibilities under special laws and CSC issuances may Philippine Identification (PhilID) Card. (Note: All other ID cards
opt NOT to take the Career Service (Professional) examination: NOT included in the list shall NOT be accepted).
Honor Graduate Eligibility under P.D. 907; Scientific and 4. Applicable examination fee
Technological Specialist Eligibility under P.D. 997; Sanggunian OTHER/ADDITIONAL REQUIREMENTS, as applicable:
Member Eligibility (Second level) under RA No. 10156; and Foreign - Original and photocopy of Birth Certificate issued by the Philippine Statistics
School Honor Graduate Eligibility under CSC Resolution No. Authority, or the Local Civil Registry (only for applicants without date of birth in
1302714. their I.D. card/s)
- Original and photocopy of Identification Certificate (IC) issued by the Bureau
of Immigration (only for applicants holding dual citizenship under R.A. 9225, and
those recognized as citizens of the Philippines under Sec 1, Article IV of the 1987
Philippine Constitution)

Please check related Examination Announcement for additional and/or updates on admission requirements and/or application requirements.

A. Place of Examination (School/Testing Venue Assignment) - shall be announced through the Online Notice of School Assignment (ONSA), available via the CSC
website www.csc.gov.ph approximately 2 weeks before examination day. If ONSA cannot be accessed, visit or call and inquire directly with the CSC
Regional/Field Office where the examinees filed their application. A complete directory of CSC Regional/Field Offices nationwide is available at the CSC website.
B. Ocular Inspection - visit and conduct an ocular inspection of the assigned school/testing venue at least 1 day before the exam day to be familiar with the school
location
C. Failure to come on scheduled examination will mean forfeiture of examination fee and slot. Rescheduling of examination date is NOT allowed.
D. THINGS TO BRING ON EXAMINATION DAY [Note: Examinees are (i) advised to bring ONLY the items listed below, (ii) encouraged to use transparent bag, and (iii)
to check related
Exam Advisory for additional and/or updates on Things to Bring on Exam Day.]
1. I.D. card, preferably the same I.D. card presented during filing of application (NO I.D., NO EXAM)
2. BLACK BALLPEN/S (note: Pencils and any other kinds of pen such as gel pen, sign pen, fountain pen, friction pen, etc. including other colors of ball pen are not allowed)
3. Original of PSA/LCR issued Birth Certificate (only if I.D. card has no date of birth)
Note: Examinees may opt to bring water, or preferred beverage (except alcoholic beverage) placed in clear/transparent container, and/or candies/biscuits (subject to inspection by the Room
Examiner/Proctor)
E. Wear proper attire on exam day, preferably plain white shirt/tops. SLEEVELESS SHIRT/BLOUSE, SHORTS/SHORT PANTS, TOKONG PANTS, RIPPED JEANS, and
SLIPPERS ARE NOT ALLOWED. Long hair (for both male and female) must be tied in “ponytail.”
F. Cellular phones and calculators are NOT ALLOWED in EXAMINEE’S SEAT, and any other gadgets including smart phones/watches and pens/eyeglasses with built-in
 Annex
A1

camera, wristwatches with calculator, books and other forms of printed materials, and any other items/tools/aids that would facilitate answering the test
questions. In this regard, before occupying the assigned seat, examinees shall deposit said items and their bags and all other personal belongings in front of
the room or in the designated area. NO BELONGINGS SHOULD BE PLACED UNDER THE EXAMINEE’S SEAT.
IMPORTANT: Access, read thoroughly, and understand fully the EXAMINEE’S GUIDE on the conduct of the
exam.