DepEd CHECKLIST OF REQ.

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Republic of the Philippines

Department of Education
Region V (Bicol)
SCHOOLS DIVISION OF ALBAY
________________________________________________________________________________________________________

CHECKLIST OF REQUIREMENTS
(For new applicants)

Name of Applicant: _______ Address: Purok-8 Pawa, Manito, Albay


Course: Bachelor in Secondary Education Major: English Contact Number: _______________
Email address: ________________________ Messenger Name/Profile:
_______________
Level: (Please check) (____) Elementary (___) Junior High School (___) Senior High School

Status of Verification
Submission (To be filled out by the Receiving School
Basic Documentary Requirements (To be filled-out by Head)
the Applicant; Status of Submission Remarks
Check if submitted) (Check if complied)
1.Checklist of Requirements
2.Letter of Intent
3.Duly Accomplished Personal Data
Sheet (PDS) CS Form 212, Revised 2005
4.Photocopy of Certificate of
Eligibility/Report of Rating
5.Photocopy of valid PRC License/I.D.
6.Photocopy of scholastic/academic
record,e.g. Transcript of Records(TOR),
including graduate/post-graduate, if
applicable, with the computed General
Weighted Average in the Bachelor’s
degree duly signed by the
Registrar/Authorized person
7.Photocopy of Certificate of
Employment (teaching and/or
industry), or Contract of Service
(teaching and/or industry), or Service
Record
8.Photocopy of Certificates of Trainings,
if any
9.Certified copy of the Voters I.D. or
any proof of residence
10.Other additional documents (please
specify/enumerate)
Please use separate sheet/s , if necessary

Verified by:
JEROME T. DAGUISO
Signature over printed name of Receiving School Head

OMNIBUS CERTIFICATION AND WAIVER

This is to certify that all information are true and correct; and that the documents submitted are
authentic. This is also authorize the Department of Education, Schools Division Office of Albay to use my
personal information for purposes of recruitment, selection and hiring.

SONIA A. BRIONES
Signature over printed name of the Applicant

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