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  • HAP Form No. 3 Revised March 2022

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    gbenjielizon
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    This document is a nomination form for the Outstanding Government Workers award (also known as the Dangal ng Bayan award). It requests information about the nominee such as their name, position, agency, and contact details. It also has sections for the nominee and nominator to provide information about the nominee's exemplary behavior, impact of their accomplishments, other awards received, and an executive summary of their nomination. Signatures are required from the nominee, nominator, regional office head, and agency head to certify the accuracy of the information and authorize its use and investigation.

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    HAP-Form-No.-3-Revised-March-2022

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    This document is a nomination form for the Outstanding Government Workers award (also known as the Dangal ng Bayan award). It requests information about the nominee such as their name, position, agency, and contact details. It also has sections for the nominee and nominator to provide information about the nominee's exemplary behavior, impact of their accomplishments, other awards received, and an executive summary of their nomination. Signatures are required from the nominee, nominator, regional office head, and agency head to certify the accuracy of the information and authorize its use and investigation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    95 views3 pages

    HAP Form No. 3 Revised March 2022

    Uploaded by

    gbenjielizon
    This document is a nomination form for the Outstanding Government Workers award (also known as the Dangal ng Bayan award). It requests information about the nominee such as their name, position, agency, and contact details. It also has sections for the nominee and nominator to provide information about the nominee's exemplary behavior, impact of their accomplishments, other awards received, and an executive summary of their nomination. Signatures are required from the nominee, nominator, regional office head, and agency head to certify the accuracy of the information and authorize its use and investigation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    HAP FORM No.

    3
    Revised as of March 2022

    SEARCH FOR OUTSTANDING


    GOVERNMENT WORKERS PASTE

    1 ½” x 2”
    (Outstanding Public Officials and Employees or
    (passport size)
    Dangal ng Bayan Award)
    Photo here

    THE NOMINEE
    Name(First Name, Middle Initial, Last Name):       Signature:           
    Position Title : (per Service Record):       Sex:       Age:      
    Status of Appointment (per Service Record):       Date of Birth:      
    Residential Address:       Place of Birth:      
               
    Active Contact Details (Telephone/Cellphone Nos.)            
    Name of Agency:            Level of Position: 1st Level
    nd
    Agency Address:       2 Level (Executive Managerial)
                      2nd Level 3rd Level (Presidential Appointee)
    Region:                   Military Elective
    Active Contact Details (Telephone/Cellphone Nos.)           Email Address:      
               
    AGENCY REGIONAL OFFICE HEAD
    Name:      
    Position Title:      
    Active Contact Details (Telephone/Cellphone Nos.)      
    Email Address:      
    AGENCY HEAD
    (see Item V, Letter D of 2021 Search Guidelines for proper endorsement)

    Name:      
    Position Title:      
    Agency Address:           
    Active Contact Details (Telephone/Cellphone Nos.)     
    Email Address:      
    NOMINATOR
    Name:            Position Title:      
    Agency:       Telephone/Cellphone Nos.:      
    Agency Address:            
          Email Address :      

    Additional Information about the Nominee:

    Were you a previous HAP Nominee? Yes No What year: _____ What Award Category: _____
    Were you a previous HAP Semi-finalist? Yes No What year: _____ What Award Category: _____
    Were you a previous HAP Awardee? Yes No What year: : _____ What Award Category: _____
    Nomination Write-up:

    (Maximum of 10 pages, A4 size bond paper, Arial #12 font, including executive summary)

    Name of Nominee: Agency:       Division/Unit:      


    Position Title :                  
    Length of Service in the Position:       In Government:            

    I. Executive Summary
    Click here to enter text.

    II. Exemplary Behavior/Conduct Displayed within the last 3 years (Describe nominee’s adherence to one or more of the following norms: Commitment to Public
    Interest, Professionalism, Justness and Sincerity, Political Neutrality, Responsiveness to Public, Nationalism and Patriotism, Commitment to Democracy and Simple Living. Cite circumstances providing
    such norms, risks involved and problems encountered.)

    III. Impact of Accomplishments (Indicate problems addressed, savings generated, people/office benefited and transactions facilitated. Indicate whether or not the accomplishments are
    part of the nominee’s regular functions/mandated or the product of his/her/their own initiative. If part of nominee’s regular duties or mandated, justify why the accomplishments are considered
    exemplary or extraordinary)

    IV. Other Information (Major Awards/Citations Received/Membership in the Organization)

    CERTIFICATION

    We attest to all facts contained herein and authorize the use of these information for publication. We understand that the Committee on Awards will validate the accuracy of
    the information contained in this form and grant our consent to the conduct of a background investigation. Any misrepresentation made by the signatories shall be a ground
    for disciplinary action pursuant to applicable Civil Service laws and rules.

    Printed Name and Signature:


                           
    Nominee Nominator PRAISE Committee/Highest HRMO Agency Regional Office Head

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