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LPIC-PD Form No. 01
Series 09-96
REQUISITION FOR PERSONNEL
TO : THE PERSONNEL DEPARTMENT
REQUISITIONING DEPARTMENT ________________________ DATE ________ 199__
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NUMBER : POSITION : WHEN TO : MALE : FEMALE : AGE LIMIT
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ADDITIONAL : REPLACEMENT : NEW POSITION : PROBATION : CASUAL
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SPECIAL QUALIFICATIONS REQUIRED: ______________________________________
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IF REPLACEMENT, WHOM REPLACING: _____________________________________
IF NEW POSITION, JUSTIFICATION: __________________________________________
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ADDITIONAL : REPLACEMENT : NEW POSITION : PROBATION : CASUAL
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FOR PERSONNEL DEPARTMENT USE ONLY:
POSITION FILLED BY : DATE STARTED : NEW STATUS OF EMPLOYMENT
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