ESTABLISHMENT OF WEBSITES FOR BICOL LGUs

LGU ENROLMENT FORM

PROVINCIAL GOVERNMENT OF MASBATE

Name of Local Government Unit

2/F Provincial Capitol, Masbate City

Address

(056) 333-3012 ppdo_masbate@yahoo.com.ph

Phone / Fax Number Website / Email Address

PARTICIPANTS’ PERSONAL INFORMATION

LEYCO ROBERTO SAN JUAN

Last Name First Name Middle Name

Matungao, Brgy. Tugbo, Masbate City Gender: F ______ M ______Age: ___39____

Home Address

Date of Birth: January 16, 1974 Civil Status: M_______ S_________ W ________

Highest Educational Attainment: College Degree: Bachelor of Science in Architecture

Contact No. 09186119354 Email Address: archleycs@yahoo.com

EMPLOYMENT RECORD

City/Municipality: ______________________________ Province: Masbate

Position/Designation Project Development Officer III No. of Years in the LGU: 11

Employment Status: Permanent____________ Casual _____________ Job Order _____________

CERTIFICATION

This is to certify that ROBERTO S. LEYCO is a permanent/casual personnel of LGU

Masbate Province and is the official participant for the LGU WEBSITE TRAINING.

HON. RIZALINA L. SEACHON LANETE

Local Chief Executive
Date: ____________________________