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CNPO Devised Form For Self Certification

This document is a self-certification form for beneficiaries of the Government Internship Program (GIP). It requires the applicant to affirm the truthfulness of their information, confirm they are not a current official or enrolled in an educational institution, and acknowledge the consequences of providing false information. The applicant must also agree to comply with relevant guidelines and policies set by the Department of Labor and Employment.

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MARK ANTHONY LALIM
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95 views2 pages

CNPO Devised Form For Self Certification

This document is a self-certification form for beneficiaries of the Government Internship Program (GIP). It requires the applicant to affirm the truthfulness of their information, confirm they are not a current official or enrolled in an educational institution, and acknowledge the consequences of providing false information. The applicant must also agree to comply with relevant guidelines and policies set by the Department of Labor and Employment.

Uploaded by

MARK ANTHONY LALIM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SELF-CERTIFICATION

For Government Internship Program (GIP) Beneficiaries

I, , hereby certify that:

1. All information I have provided in my application form and the


documents attached thereto are true, complete, and correct to the
best of my knowledge and belief;
2. I am not an incumbent official of the Barangay or Sangguniang
Kabataan;
3. I am not currently enrolled in any Educational Institution; and
4. I understand and accept that any false statement,
misrepresentation, or omission of facts may result in:
 Disqualification from the Government Internship Program
(GIP);
 Cancellation of any existing services or contracts under the
program;
 Forfeiture of any refunds or benefits received;
 Liability to return any disbursed funds; and/or
 Payment of damages to the Department of Labor and
Employment (DOLE) or the imposition of other legal sanctions.

I have read, understood, and agree to comply with the guidelines as


stated in the Department Order No. 204 s. 2019 and DOLE-GIP Advisory
No.1 2025 and other related DOLE policies.

Signed this ____ day of __________, 2025 at _____________________________.

Signature over Printed Name

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