Annex 4A Worksheet Format
Annex 4A Worksheet Format
CLEANLIST
Name of Candidates FACTORS FOR EVALUATION AND SCREENING Other Requirements
2nd Sem
1st Sem
Qualification Standards
Nr
Date of Officership
NBI Clearance
MIDDLE NAME
QUALIFIER
BADGE NR
Drug Test
WBPA
TOTAL
Education
Eligibility
Training
(100%)
IPER
PDIR LYNDON G CUBOS
CHAIRMAN, NHQ PSUPT PROMOTION BOARD
Date Designated
1st Sem
2nd Sem
Awards and Recognition
Rank Seniority (25 pts)
Diversity of Assignment
Competence to Assume
RANK
Position/Leadership
Nr
NBI Clearance
MIDDLE NAME
UNIT/OFFICE
FIRST NAME
LAST NAME
QUALIFIER
BADGE NR
Drug Test
Source of
(25 pts)
(10 pts)
(Years/Mos/Days)
WBPA
TOTAL
TIG/ Experience
IPER (5 pts)
Education
pts)
Date of Last
Eligibility
Promotion
Training
(100%)
Date Designated
2nd Sem
Awards and Recognition
1st Sem
Rank Seniority (30 pts)
Diversity of Assignment
Nr
Date of Officership
Commissionship
NBI Clearance
MIDDLE NAME
UNIT/OFFICE
FIRST NAME
LAST NAME
QUALIFIER
BADGE NR
Drug Test
Source of
(25 pts)
(10 pts)
(Years/Mos/Days)
WBPA
TOTAL
TIG/ Experience
IPER (5 pts)
pts)
Date of Last
Education
Eligibility
Promotion
Training
(100%)