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Omnibus Iligan

The document is a checklist of requirements for an applicant named Junry L. Malinge applying for the position of Teacher 1 in the Division of Iligan City. It outlines the necessary documents to be submitted, including a letter of intent, personal data sheet, and various certificates, along with a certification of authenticity and data privacy consent. The document also includes a section for verification by the HR office and a legal note regarding the validity of electronic documents.

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khadafy unda
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43 views1 page

Omnibus Iligan

The document is a checklist of requirements for an applicant named Junry L. Malinge applying for the position of Teacher 1 in the Division of Iligan City. It outlines the necessary documents to be submitted, including a letter of intent, personal data sheet, and various certificates, along with a certification of authenticity and data privacy consent. The document also includes a section for verification by the HR office and a legal note regarding the validity of electronic documents.

Uploaded by

khadafy unda
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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Annex C

CHECKLIST OF REQUIREMENTS

Name of Applicant: Junry L. Malinge Application Code: _________________________


Position Applied For: Te acher 1
Office: Division of Il igan City
Contact Number: 09462926697
Religion: R o m a n Cat h olic
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: AZOR B. QUIJANO


Administrative Officer IV - Personnel

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.

JUNRY L. MALINGE
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 enforce
ability 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.

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