Application Form OFFICE: HOSPITAL MANAGEMENT OFFICE - GOV. NIEL D. TUPAS SR. MEMORIAL DISTRICT HOSPITAL POSITION: MEDICAL SPECIALIST I (OB-GYN) EDUCATION: DOCTOR OF MEDICINE ELIGIBILITY: RA 1080 (PHYSICIAN), OB-GYN DIPLOMATE TRAINING: 4 HOURS OF RELEVANT TRAINING EXPERIENCE: 1 YEAR OF RELEVANT EXPERIENCE COMPETENCY: 1. CLINICAL PROFICIENCY (3) 2. PATIENT CARE (3) 1 Personal Information 2 Education/Eligbility 3 Work Experience/Training Prev Next APPLYING FOR --------- Administrative Officer IV (Human Resource Management Officer II) Provincial Government Assistant Department Head Midwife III Nursing Attendant I Social Welfare Officer I Social Welfare Assistant Administrative Officer II (Administrative Officer I) Labor and Employment Officer I Administrative Aide III (Clerk I) Medical Specialist II (Surgeon) Administrative Aide III (Clerk I) Nurse II Nurse I Medical Specialist II (Surgeon) Administrative Aide II (Messenger) Local Revenue Collection Officer II Local Revenue Collection Officer I Administrative Aide I (Utility Worker I) Medical Specialist III (Orthopedic) Accountant I Accountant II Chief of Hospital II Administrative Officer I (Records Officer I) Supervising Agriculturist Planning Officer II Agricultural Technologist Agricultural Technologist (Licensed Agriculturist) Agricultural Technologist (Licensed Agricultural and Biosystems Engineer) Nurse I Nurse IV (Ramon Tabiana Memorial District Hospital Medical Technologist II (Ramon Tabiana Memorial District Hospital) Medical Officer III (Ramon Tabiana Memorial District Hospital) Medical Officer III (Rep. Pedro G. Trono Memorial Hospital) Attorney III Medical Specialist II (Anesthesiologist) - Rep. Pedro G. Trono Memorial Hospital Accountant I Medical Specialist II (Surgeon) Local Assessment Operations Officer IV Assessment Clerk III Attorney IV Nurse III Sports and Games Inspector II Engineer III (Mechanical Engineer) Engineer III (Civil Engineer) Administrative Aide IV (Clerk II) Medical Specialist II (Pediatrician) - (To be assigned at Rep. Pedro G. Trono Memorial Hospital) Tax Mapper III Assessment Clerk III Statistician I Nurse II Sanitation Inspector II Nurse I Medical Specialist II (Surgeon) Nurse II Nurse I Administrative Aide I (Utility Worker I) Veterinarian II Sports Development Officer I Development Management Officer III Dentist II Nurse II Administrative Aide IV (Clerk II) Dental Aide Nurse IV Medical Technologist II Nursing Attendant I Medical Specialist II (Anesthesiologist) Nurse III Administrative Aide VI (Clerk III) Administrative Officer I (Cashier I) Accountant I Medical Specialist II (Surgeon) Administrative Assistant VI (Computer Operator III) Administrative Aide VI (Clerk III) Engineer I (Mechanical Engineer) Planning Officer IV Nurse IV Pharmacist II Medical Officer III Administrative Aide IV (Clerk II) Administrattive Officer V (Administrative Officer III) Nurse I Nursing Attendant I Engineer I (Civil Engineer) Administrative Officer I (Supply Officer I) Administrative Aide IV (Driver II) Administrative Aide I (Utility Worker I) Accountant II Nurse I Provincial Government Department Head* (Public Employment Service Officer) Nurse II Carpenter I Administrative Aide I (Utility Worker I) Nurse II (To be assigned at Ramon Tabiana Memorial District Hospital) Accountant II Provincial Government Assistant Department Head Administrative Assistant III (Computer Operator II) Engineer I Engineering Assistant Medical Specialist II (Anesthesiologist) (*To be assigned at Sara District Hospital) Sanitation Inspector III Medical Officer III (To be assigned at Sara District Hospital) Radiologic Technologist I Local Assessment Operations Officer I Administrative Aide II (Bookbinder I) Administrative Assistant I (Computer Operator I) Supervising Administrative Officer (Administrative Officer IV) Midwife II Administrative Aide IV (Clerk II) Medical Officer III (Ramon Tabiana Memorial District Hospital) Administrative Officer III (Records Officer II) Nurse I Nursing Attendant I Construction and Maintenance Man Administrative Officer IV (Administrative Officer II) Senior Agriculturist Administrative Assistant II (Clerk IV) Administrative Officer I (Records Officer I) Administrative Aide IV (Driver II) Administrative Aide I (Utility Worker I) Administrative Aide VI (Utility Foreman) Nurse II Dental Aide Nurse III Nurse II Nurse I Planning Officer II Agricultural Center Chief I Aquacultural Technologist Agricultural Technologist Agricultural Technician I Statistician I Administrative Assistant II (Clerk IV) Nurse II Medical Technologist I Nurse III Medical Specialist II (Surgeon) (To be assigned at Sara District Hospital) Nurse II Nurse III Medical Specialist III (Obstetrician-Gynecologist )(To be assigned at Jesus M. Colmenares District Hospital) Medical Technologist I Internal Auditor II Accountant II Supervising Tourism Operations Officer* Engineer III Sanitation Inspector II Chief of Hospital II Administrative Officer IV (Administrative Officer II) Sanitation Inspector IV Administrative Aide II (Bookbinder I) Medical Officer III (Ramon Tabiana Memorial District Hospital) Nurse I Administrative Aide IV (Bookbinder II) Administrative Aide IV (Clerk II) Administrative Aide I (Utility Worker I) Nurse II Administrative Aide III (Clerk I) Provincial Government Assistant Department Head (Assistant Provincial Engineer) Administrative Officer II (Administrative Officer I) Engineer III (Civil Engineer) Engineer II (Civil Engineer) Engineer II (Mechanical Engineer) Engineer I (Civil Engineer) Mechanic II Heavy Equipment Operator I Administrative Aide III (Driver I) Administrative Aide VI (Clerk III) Administrative Officer IV (Administrative Officer II) Medical Specialist III (Anatomic and Clinical Pathologist) Accountant II Respiratory Therapist II Nurse II Administrative Aide V (Carpenter II) Administrative Aide III (Driver I) Administrative Aide II (Messenger) Supervising Administrative Officer (Supply Officer IV) Supervising Administrative Officer (Records Officer IV) Administrative Officer III (Records Officer II) Administrative Aide VI (Clerk III) Labor and Employment Officer III Provincial Government Department Head* (Provincial Social Welfare and Development Officer), (*Must be a Filipino Citizen, of good moral character and a resident of the Province of Iloilo) Provincial Government Department Head* (Provincial Planning and Development Coordinator), (*Must be a Filipino Citizen, of good moral character and a resident of the Province of Iloilo) Provincial Government Department Head* (PESO Manager), *Must be a Filipino Citizen, of good moral character and a resident of the Province of Iloilo Provincial Government Assistant Department Head* (*Must be a Filipino Citizen, of good moral character and a resident of the Province of Iloilo) Medical Specialist II (Surgeon) (to be assigned at Federico Roman Tirador Sr. Memorial District Hospital) Medical Specialist II (Obstetrician-Gynecologist) , (to be assigned at Federico Roman Tirador Sr. Memorial District Hospital) Youth Development Officer IV** (**Must be a Filipino Citizen, of good moral character and preferrably not more than 30 years of age at the time of appointment) Administrative Officer II (Administrative Officer I) Medical Specialist II (Obstetrician-Gynecologist) , (to be assigned at Sara District Hospital) Lifeguard Environmental Management Specialist I Administrative Officer II (Administrative Officer I) Administrative Aide III (Driver I) Administrative Assistant II (Administrative Assistant) Administrative Officer II (Administrative Officer I) Nurse I Administrative Aide IV (Storekeeper I) Laboratory Aide II Medical Specialist II (Surgeon) Nurse II Administrative Aide III (Clerk I) Planning Officer III Project Evaluation Officer II Nurse I (To be assigned at Aleosan District Hospital) Farm Worker I Administrative Aide I (Utility Worker I) Chief of Hospital II (Dr. Ricardo Y. Ladrido Memorial Hospital) Chief of Hospital II (Dr. Ricardo S. Provido Sr. Memorial District Hospital) Provincial Government Assistant Department Head (Assistant Provincial Agriculturist) Administrative Officer IV (Administrative Officer II) Chief of Hospital II (Don Valerio Palmares Sr. Memorial District Hospital) Attorney IV Administrative Aide II (Bookbinder I) Supervising Administrative Officer (Human Resource Management Officer IV) Administrative Officer II (Human Resource Management Officer I) Project Development Officer IV Nursing Attendant I Nurse I (To be assigned at Ramon Tabiana Memorial District Hospital) Nurse III (To be assigned at Ramon Tabiana Memorial District Hospital) Administrative Assistant III (Computer Operator II) Administrative Assistant II (Bookkeeper) Provincial Government Assistant Department Head Medical Officer III Medical Officer III Nurse II Midwife II Nursing Attendant II Nursing Attendant I Laundry Worker I Pharmacist I Administrative Aide I (Utility Worker I) Administrative Aide I (Utility Worker I) Radiologic Technologist II Medical Officer III Administrative Aide III (Driver I) Administrative Aide I (Utility Worker I) Medical Specialist II (Surgeon) Medical Specialist I (OB-GYN) Accountant II Administrative Officer III (Cashier II) Statistician I Sanitation Inspector II Administrative Aide VI (Clerk III) Administrative Assistant III (Computer Operator II) Administrative Officer V (Administrative Officer III) Nurse I Administrative Aide III (Plumber I) Provincial Government Department Head* Security Guard III Security Guard II Administrative Aide VI (Clerk III) Accountant IV Administrative Aide IV (Clerk II) Administrative Aide I (Crafts & Trades Helper ) Nursing Attendant II Administrative Aide III (Driver I) Administrative Aide I (Utility Worker I) Cooperative Development Specialist I Administrative Officer V Administrative Aide I (Utility Worker I) Social Welfare Assistant Laundry Worker I Security Guard II Accountant III Administrative Officer I (Records Officer I) Administrative Officer IV (Fiscal Controller II) Medical Specialist II (Surgeon) Heavy Equipment Operator I Accountant II Medical Specialist I (OB-GYN) FIRST NAME Needed to register new applicant MIDDLE NAME SURNAME NAME EXT. SEX --------- Male Female DATE OF BIRTH CIVIL STATUS --------- Single Married Separated Widowed Other BIRTH PLACE CITIZENSHIP RELIGION RESIDENTIAL PROVINCE --------- Abra Agusan del Norte Agusan del Sur Aklan Albay Antique Apayao Aurora Basilan Bataan Batanes Batangas Benguet Biliran Bohol Bukidnon Bulacan Cagayan Camarines Norte Camarines Sur Camiguin Capiz Catanduanes Cavite Cebu Cotabato Davao de Oro Davao del Norte Davao del Sur Davao Occidental Davao Oriental Dinagat Islands Eastern Samar Guimaras Ifugao Ilocos Norte Ilocos Sur Iloilo Isabela Kalinga La Union Laguna Lanao del Norte Lanao del Sur Leyte Maguindanao Marinduque Masbate Metro Manila Misamis Occidental Misamis Oriental Mountain Province Negros Occidental Negros Oriental Northern Samar Nueva Ecija Nueva Vizcaya Occidental Mindoro Oriental Mindoro Palawan Pampanga Pangasinan Quezon Quirino Rizal Romblon Samar Sarangani Siquijor Sorsogon South Cotabato Southern Leyte Sultan Kudarat Sulu Surigao del Norte Surigao del Sur Tarlac Tawi-Tawi Zambales Zamboanga del Norte Zamboanga del Sur Zamboanga Sibugay RESIDENTIAL MUNICIPALITY -------- RESIDENTIAL BARANGAY -------- PERMANENT PROVINCE --------- Abra Agusan del Norte Agusan del Sur Aklan Albay Antique Apayao Aurora Basilan Bataan Batanes Batangas Benguet Biliran Bohol Bukidnon Bulacan Cagayan Camarines Norte Camarines Sur Camiguin Capiz Catanduanes Cavite Cebu Cotabato Davao de Oro Davao del Norte Davao del Sur Davao Occidental Davao Oriental Dinagat Islands Eastern Samar Guimaras Ifugao Ilocos Norte Ilocos Sur Iloilo Isabela Kalinga La Union Laguna Lanao del Norte Lanao del Sur Leyte Maguindanao Marinduque Masbate Metro Manila Misamis Occidental Misamis Oriental Mountain Province Negros Occidental Negros Oriental Northern Samar Nueva Ecija Nueva Vizcaya Occidental Mindoro Oriental Mindoro Palawan Pampanga Pangasinan Quezon Quirino Rizal Romblon Samar Sarangani Siquijor Sorsogon South Cotabato Southern Leyte Sultan Kudarat Sulu Surigao del Norte Surigao del Sur Tarlac Tawi-Tawi Zambales Zamboanga del Norte Zamboanga del Sur Zamboanga Sibugay PERMANENT MUNICIPALITY -------- PERMANENT BARANGAY -------- MOBILE EMAIL INDIGENOUSE GROUP PERSON WITH DISABILITY SOLO PARENT Education (Highest Educational Attainment) LEVEL Primary Secondary Vocational/Trade Course College Graduate Studies SCHOOL NAME DEGREE YEAR LEVEL/ UNITS EARNED Eligibility Career Eligibility CSC Professional/Second Level Eligbility CSC Sub-Professional/First Level Eligibility Bar/Board Eligibility (RA1080) Barangay Health Worker Eligibility (RA7883) Barangay Nutrition Scholar Eligibility (RA7160) Barangay Official Eligibility (RA7160) Electronic Data Processing Specialist Eligibility (CSC Res. 90-083) Foreign School Honor Graduate Eligibility (CSC Res. 1302714) Honor Graduate Eligibility (PD907) Sanggunian Member Eligibility (RA10156) Scientific and Technological Specialist Eligibility (PD 997) Veteran Preference Rating (EO 132/790) None Others RATING Work Experience FROM TO POSITION AGENCY Training TRAINING TITLE NO. HOURS TYPE Data Privacy Notice The Iloilo Provincial Government maintains and protects the privacy of personal data that you share with us. We commit to implement appropriate security measures to maintain the confidentiality, integrity, and availability of your personal data in accordance with RA 10173 or the Data Privacy Act of 2012 I agree to the Privacy Policy
