View source for Basic Paper for SA

OSSS Form No. 3


University of the Philippines
Diliman, Quezon City

BASIC PAPER FOR GRADUATES/ STUDENT ASSISTANT

[ ] Original  [  ] Reappointment   [  ]   Renewal   [  ] Item/ Unit Transfer   [  ]  Change of designation
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1. Name (Surname, First Name, M.I.) : Bithdate   :  Citizenship  : 2. College/ Unit/ Office/Div./Dept.
                                                             :                  :                      :
                                                             :                  :                      :
           Employee No.                           :           TIN:                      :
3. Degree       Institution         Year             ( For STFAP SA only: State Bracket Assignment)

4. Previous / present designation       : Unit Code   :  PSI No.      :  Rate/hour not to exceed 100 hours  
:	          :		        :  a month ot the limits to be imposed
: 	          :	        	        :  by the chairman
_________________________________________________________________________________
5, Proposed Designation                    : Unit Code   :  PSI No.      :  Rate/hour not to exceed 100 hours  
:	          :		        :  a month ot the limits to be imposed
: 	          :	        	        :  by the chairman
_________________________________________________________________________________

6. To replace				7. Conditions of apponiment 8. Effectivity date:
									   From:												   To:
9. Justification (For SA only – Specify function/duties)

10. Recommended by:					         :   11. Endorsed by: 
								         :
								         :
			Chairman/Head			         : 	Dean/Director/Head		Date
			Div./Dept/Office			         :  College/Unit/Office
12. OSSS Clearance:						         : 13. Budget Clearance:
								         :	     Code/IOB No.
								         :	     PSI No. 
								         :       Designation
								         :       Rate:
		Chief 				Date		         :       Effectivity Date
								         :
								         :          Budget Director		Date
14. Approval




	Vice-Chancellor for Student Affairs			Date
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[[Category:Administrative Forms]]