Scribd
Upload
110 views2 pages

Checklist of Requirements: Annex C

This document contains a checklist of requirements for a job application, including basic documentary requirements such as a letter of intent, personal data sheet, valid ID, academic records, training certificates, and employment records. It also includes a certification section where the applicant certifies the authenticity and veracity of the documents submitted and consents to the processing of their personal data for recruitment purposes. The final section is a certification from the school principal acknowledging receipt of the applicant's documents and application for a teacher position.

Uploaded by

Jessiel Torres
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
110 views2 pages

Checklist of Requirements: Annex C

This document contains a checklist of requirements for a job application, including basic documentary requirements such as a letter of intent, personal data sheet, valid ID, academic records, training certificates, and employment records. It also includes a certification section where the applicant certifies the authenticity and veracity of the documents submitted and consents to the processing of their personal data for recruitment purposes. The final section is a certification from the school principal acknowledging receipt of the applicant's documents and application for a teacher position.

Uploaded by

Jessiel Torres
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
You are on page 1/ 2

Annex C

CHECKLIST OF REQUIREMENTS

Name of Applicant:
Application Code:_____________________________________________________________
_________________________
Position Applied For: __________________________________________________________
Office: _____________________________________________________________________________________
Contact Number: _______________________________________________________________
Religion: ________________________________________________________________________________
Ethnicity: ______________________________________________________________________________
Person with Disability: Yes ( ) No ( )
Solo Parent: Yes ( ) No ( )

Verification
Status of
(To be filled-out by the HRMO/HR Office/sub-committee)
Submission
Basic Documentary Requirement (To be filled-out by the Status of
applicant;
Submission Remarks
Check if submitted)
(Check if complied)

A. Letter of intent addressed to the Head of Office, or to the


highest human resource officer designated by the Head of
Office
B. Duly accomplished Personal Data Sheet (PDS)
(CS Form No. 212, Revised 2017) and Work Experience Sheet, if
applicable
C. Photocopy of valid and updated PRC License/ID, if applicable

D. Photocopy of Certificate of Eligibility/Report of Rating, if


applicable
E. Photocopy of scholastic/academic record such as but not
limited to Transcript of Records (TOR) and Diploma, including
completion of graduate and post-graduate units/degrees, if
available
F. Photocopy of Certificate/s of Training, if applicable
G. Photocopy of Certificate of Employment, Contract of Service, or
duly signed Service Record, whichever is/are applicable
H. Photocopy of latest appointment, if applicable
I. Photocopy of the Performance Ratings in the last rating
period(s) covering one (1) year performance prior to the
assessment, if applicable
J. Checklist of Requirements and Omnibus Sworn Statement on
the Certification on the Authenticity and Veracity (CAV) of the
documents submitted and Data Privacy Consent Form (Annex
C)
K. Other documents as may be required for comparative
assessment:
Means of Verification (MOVs) showing Outstanding
Accomplishments, Application of Education, and Application of
Learning and Development reckoned from the date of last
issuance of appointment
Photocopy of Performance Rating obtained from the relevant
work experience, if performance rating in Item (i) is not relevant
to the position to be filled

Attested: __________________________________________________
School Principal

OMNIBUS SWORN STATEMENT

CERTIFICATION ON AUTHENTICITY AND VERACITY


I hereby certify that all information above are true and correct and of my personal knowledge and belief, and the documents
submitted herewith are original and/or certified true copies thereof.

DATA PRIVACY CONSENT


I hereby grant the Department of Education the right to collect and process my personal information as stated above, for purposes
relevant to the recruitment, selection, and placement of personnel of the Department and for purposes of compliance with the
laws, rules, and regulations being implemented by the Civil Service Commission.

Name and Signature of Applicant

Subscribed and sworn to before me this _________day of__________, year___________

Person Administering Oath

In consonance with Republic Act No. 8792 or the "Electronic Commerce Act of 2000", (e)lectronic documents shall have the legal effect, validity or
enforceability as any other document or legal writing and a) (w)here the law requires a document to be in writing, that requirement is met by an electronic
document if the said electronic document maintains its integrity and reliability and can be authenticated so as to be usable for subsequent reference.
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
DIVISION OF LANAO DEL NORTE
MARANDING CENTRAL ELEMENTARY SCHOOL
Maranding, Lala, Lanao del Norte

Enclosure A

CERTIFICATION

This is to acknowledge receipt of the application for TEACHER 1 position SY 2022-2023 of


Elementary

DYREL ROSE ANGELY CELIA ALMOJALLAS, a local resident of Purok 3 Pacita,


Lala,
First Name Middle Name Surname

Lanao del Norte, with the following supporting documents:

Documents Remarks

a. Intent Letter ________


b. Personal Data Sheet or CSC Form 212 ________
c. Certified Photocopy of PRC ID ________
d. Certified Photocopy of Certificate of Rating ________
e. Certified Photocopy of Transcript of Records (TOR) and Diploma ________
f. Certified True of Certificate of Training ________
g. Certified True copy of Service Record and Certificate of Employment ________
h. Checklist of Requirements and Omnibus Sworn Statement on the Certification
on the Authenticity and Veracity (CAV) of the documents submitted
and Data Privacy Consent Form (Annex C) ________
i. Voter’s Certification ________
j. NBI Clearance ________

Received by:

MARY GRACE B. YAP, Ph. D.


School Principal

________________________
Date
SUBSCRIBED AND SWORN to before me in Municipality of Kapatagan this 28th day March 2023,
affiant exhibiting to me her Community Tax Certificate No. _____________ issued on ___________
at Abaga, Lala, Lanao del Norte, Philippines.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy