Checklist For Cebu Province

Download as pdf or txt
Download as pdf or txt
You are on page 1of 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 ( )
Basic Documentary Requirement Status Submission Verification
(To be filled out by the (To be filled out by the HRMO/HR
applicant, Check if
submitted)
Office/sub-committee
Status of Remarks
Submission
(Check if complied)
a Letter of Intent addressed to the Schools
Division Superintendent
(name of school applied for must be indicated in the letter)
b Duly accomplished Personal Data Sheet (PDS)
(CS Form 212, Revised 2017 and Work
Experience Sheet, if applicable
c Certified true copy of valid and updated PRC
License/ID, if applicable
d Certified true copy of eligibility/board rating, if
applicable
e Certified true copy of Civil Service Certificate
f Certified true copy 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 applicable
g Certified true copy of Certificate/s of Training,
if applicable
Certified copy of Certificate of Employment,
h Contract of Service, or duly signed Service
Record, whichever is/are applicable
i Certified true copy of the latest appointment, if
applicable
j Certified true copy of the Performance Ratings
in the last rating period(s) covering one (1) year
performance prior to the assessment, if
applicable
K Checklist of Requirements and Omnibus
Sworn Statement on the Certification on the
Authenticity and Veracity (CAV) of the
documents submitted and Data Privacy
Consent For (Annex C)

l Certified true copy of COMELEC ID or Voter’s


Registration Certification

m Certified true copy of PSA/NSO


n Certified true copy of NBI Clearance
o Data Privacy Consent
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 of compliance with the laws, rules and regulations being implemented by the Civil Service
Commission.

__________________________________
Name and Signature of Applicant

Attested by:
_____________________________________
Human Resource Management Officer

In consonance with Republic Act No. 8792 of the ‘Electronic Commerce Act of 2000, Electronic documents shall have
the legal effect, validity and enforceability as any other document or legal writing and where the law requires a
document to be in writing that requirements is met by an electronic document maintains its integrity and reliability
and can be authenticated so as to be unable for subsequent reference.
Encoded by Teacher Nylian Jorolan

09949070192

You might also like