Republicof the Philippines DEPARTMENT FOREIGN AFFAIRS OF BOARDOF FOREIGN EXAMINATIONS SERVICE APPLICATION FORTHEFOREIGN OFFICER EXAMINATIONS SERVICE

INSTRUCTIONS: 1. All questions mustbe answered in the applicant's handwriting fully own in blackink,usinga penor a ballpenwithall blanks filled-in.A lineor dash is not deemedan answer. the entryis not relevant thereis no lf or 1-112in.x2in. please answer, writeN/A. Photograph 2. The applicant mustcomplete the necessary all indicated requirements in the examination announcement, attaching securely saiddocuments to thisapplication. 3. lf more space is neededfor the answersto some questions, the may use a cleansheetof 8 % in. x 13 in. bondpaper. applicant Follow the same formatas in the application form and numberthe answers accordingly. 4. Dulyaccomplished notarized application should submitted follows: be form as o For those submitting the BFSE Secretariat, to DFA Main Office,Manila,one (1) duly accomplished notarized application formwith attachments; . For those submittingto the DFA Regional Consular Offices or to Philippine Embassies/Consulates, (1) duly accomplished one notarizedapplication form with attachments one (1) photocopy the complete of documents. and of set formsshallbe dulyaccomplished the applicants submitted person, 5. Application and in not by later than 25 January 2013 at any Regional ConsularOffice or Philippine Embassyor Consulate abroad, and not laterthan 31 January2013 until 5:00 p.m. only at the DFA MainOffice. Applicationsshall no lonqer be acceptedbevondthe set deadlines. 6. Incomplete application formsshallnotbe accepted. 7. Any false, misleading fraudulent or knowingly made by the applicant statements shall be sufficientcause for the cancellation his/hertest papers,removalfrom office if already of appointed, prosecution perjury. and for who do notfollowthe foregoing 8. Applicants instructions shallnot be allowed takethe Foreign to Service OfficerExaminations. 1. Name:
Surname FirstName
Qo-'

MiddleName

(Jr/Sr/ll) Name Extension

2. Place birth: of Age: Citizenship(s): 3. CivilStatus: lf Married, nameof spouse:

Sumame

Dateof birth:_ Religion:

FirstName

Middle Name

of Citizenship(s)spouse: . In case of a Muslim, (Use pleaseenumerate of nameand citizenships all spouses separate sheetif necessary) . In caseof a foreigner will to of spouse, application still be brought the attention the the requirements may of Additional documentary Secretary ForeignAffairs,for approval. of alsobe required the applicant. 4. Homeaddress: From Periodof Residency: number: Hometelephone E-mailaddress: Officeaddress: number: telephone Office To Mobile number:

Em 6. Present

! Government n Private Length Experience in of

Lengthof Experience in Present Job/Position

8. Civil Service/ Board I Bar I Other Government Examinations Passed(useseparate if sheet necessary) Nameof Examination Ratinq Dateof Examination Place Examination of

References: 9. Character Give the namesof three (3) Filipino citizens good standing of who (exclude can vouchfor vour moralcharacter re ADDRESS|IELEPHONE NO. ORMOBILE

10.Have you ever been accusedof, indicted tried,for violation any law, ordinance of or or regulation, before court, any military police or authority? n Yes tr No or tribunal, othersimilar lf yes, give the date of the complaint indictment statefullythe natureof the offense. A or and with this certifiedcopy of the order or decisionof the court or tribunalshall be submitted application.

will 11. In case you passthe Foreign ServiceOfficerExaminations, you assumeyour position (1) year after you have been notifiedof your appointment FSO lV by the as within one you agreethat refusalor failureto do so withinthe President the Philippines, do of and specifiedperiod would result in the droppingof your name from the roster of eligible applicants?!YestNo Service 12.For applicantswith more than one citizenship. In case you pass the Foreign to of will and swearto an oath of allegiance the Republic OfficerExaminations, you subscribe yourallegiance allother to and and authorities, renounce the Philippines itsdulyconstituted countries? ! Yes n No n NotApplicable

13. Haveyou takenthe Foreign Service OfficerExaminations before? n Yes n No lf yes, statehow manytimesyou havetakenthe following FSO component examinations and the datesof thoseexaminations. 1. Qualifying Test 2. Preliminary Interview

3. Written Test
4. PsychologicalTest 5. OralTest 14.ForeignLanguage Test.Pleasecheckthe foreignlanguage you wish to be examined in. Indonesia O Arabic Chinese O Bahasa French O O O German O Japanese O Spanish 15.Pleasecheckthe testingcenterwhereyou intendto takethe Qualifying Test. City City O Baguio de O Bacolod O Cagayan Oro City City O Lucena City O Cebu O DavaoCity Manila O Metro City City O lloilo O GeneralSantos O LegazpiCity City City O Tacloban O Zamboanga

City, O SanFernando LaUnion City O SanFernando Pampanga

I understand that the BFSE reserves the right not to conductthe Qualifying Test in any of the above-mentioned testingcenters depending the number qualified on of examinees thereat. I herebyagreeto pay a non-refundable admission of P500.00 fee before takingthe Qualifying Test uponacceptance my application. of I herebyattach the following documents/requirements integralparts of this application: as 1. CertifiedTrue Copy (CTC) of transcriptof recordsfrom college or university, bearing seal of the collegeor university; 2. Certified True Copy (CTC)of diplomaor certificate graduation; of 3. Proofof past or presentemployment furtherstudies; or 4. Originalbirthcertificate issuedby the NationalStatistics Office . For those born abroad: Report of Birth at Post may be submittedin case no birth record is availableat NationalStatistics Office (NSO).The Reportof Birth shall be duly authenticated the issuingPost.A certification non-availability said birth by of of certificate from the NSO shall be submitted alongwith the Reportof Birth. . For a Philippine citizenwho has dual or multiple citizenships. notarized a affidavit statingthat upon passing examination, the he/sheintends renounce to his/heroath of allegiance his/herother countries citizenship; to of he/shemust also submita notarized affidavit statingthat he/sheis a permanent residentin the Philippines. 5. For marriedapplicants: CertifiedTrue Copy (CTC)of marriagecertificate issuedby the National StatisticsOffice. lf married to a foreiqner, he/she must secure from the Secretarvof ForeionAffairs.throuqh the Board of ForeiqnService Examinations, authoritv take the FSO Examinations. to 6. Eight(8) pieces1-1l2in. 2in. blackand whiteor colorstudiotakenphotographs, x taken withinsix (6) monthsbeforethe date of the examination, showingthe full frontalview of the face of the applicant with a name tag, i.e.Juan M. delaCruz,Jr.;and 7. Two (2) self-addressed self-stampedenvelopesmarkedas priority mail. and I herebyacceptall decisions madeby the Boardof Foreign pertinent my ServiceExaminations to application.

lF

OATHOF APPLICANT with , afterhavingbeendulyswornin accordance law, herebydeclarethat the foregoinganswersto the questions this application take the in to Foreign ServiceOfficerExaminations true and correct the bestof my knowledge belief; are to and that I have not knowinglymade any false, misleadingor fraudulentstatement,and that I that any false, misleading fraudulent understand or statement knowingly made by me shall be papers,removalfrom office if already cause for the cancellation my examination sufficient of and for appointed, prosecution perJury.

Name of overPrinted Signature Applicant

SUBSCRIBEDAND SWORN TO before me this day of Affiantdisplaying me his/her Residence No. to Certificate

at or

No. Passport

issued at

Notary Public/ Administering Officer