Republic of the Philippines
SCIENCE AND TECHNOLOGY INFORMATION INSTITUTE
STII Building,DOST Complex, Bicutan, Taguig City
LEARNING AND DEVELOPMENT NOMINATION FORM
Division
Course
Fund Source
No. of Terms /
School Year Semesters
Recommended Employee Position
Checklist of Basic Requirements
Must have rendered at least two (2) years of continuous service in the DOST System;
Have obtained a performance rating of at least Very Satisfactory (VS) for the last two consecutive rating
periods;
Have no pending criminal or administrative case;
Have no on-going financial obligation due to non-completion of a previous training as certified by HR
Section or DOST-HRDP;
The nominee’s present duties and responsibilities must be relevant to the field of study
Recommended by: Approved by:
Employee Division Chief Director
Date: Date: Date:
SDC COMMITTEE RECOMMENDATION
Chairperson
Member Member
Member Member
Member Member
Republic of the Philippines
SCIENCE AND TECHNOLOGY INFORMATION INSTITUTE
STII Building,DOST Complex, Bicutan, Taguig City
LEARNING AND DEVELOPMENT NOMINATION FORM
Division Date submitted
Title of
Training
Date of
Training Provider
Training
Fund Source Amount
Recommended Participant/s (in order of priority) Position
Reason/s for Nomination
Recommended by: Recommending Approval: Approved by:
ARLENE E. CENTENO RICHARD P. BURGOS
SDC Chairperson Director
Date: Date: Date: