Checklist and Omnibus Sworn Statement

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cuecuuisr oF nequiREarEnTS ane pcan: EFF i8UGAN JOLLA poten atesl= 3029.69 = OIF Peso te SE TAPN Otero oti Ap Pe Bs Religion: LU @ Bae evan Disblige Wen) Mol -1 Sooparnt teat) Nol) open | _ Got yo! ; ioe late conte Bos mentary Eero! bef oatty he | ia Scio roar cnet Yomi 3] aie oe an ee HRT = a highest human resource officer Duly accomplished Personal Data Sheet PDS) (C3 Form No. 212, Revised 2017) and Work. S a Ssperience Sheet ifapplcsble a [| Photocopy of vid and updated PRC Lsese7 1.17 sapnlcabie 2 - | Photocopy CTIA oT ENGNG REPORT 5 Rating, applicable < “ =| Photocopy of schoiatc/acadenic records such as bt ot Listed to Transcript of Recorde (TOR) and Diplo, intoding complation of gaduate and post- seaduats units depree, applicable T| Protocopy of Cerseate of Training, Papplcabie Z Photocopy of Certiicate of employment, Contract ot Service, or duly signed Service Record, whichever = 2 | Photocopy of latest appointment, appieabie | Photocopy of Performance Ratings in te last ing ‘enode} covering one (year of perormance rit Toth deadline of estmision, applicable F | Chest of Requirements and Omnibus Sura ‘Statement on the Cerifeaton onthe Authentic sry eth docaets ubstedan = wy ‘Data Privacy Consent Form ‘ther dacente an may be Fete Gr ‘Somparatve asestment, such as but nt limited = Means of Verieation (MOVs) showing Outstanding ‘Accomplishments, pplcauon on Education, and ‘pplation of Learning and Development reckoned {Gem dhe dae of lant asuaace of sppiniment ‘Photocopy of Performance Rating obtained tom felevent work expeience if performance rating tem iis not relevant othe postion tobe led. - (OMNIBUS EWORK STATEMENT (CERTIFICATION OF AUTHENTICITY AND VERACITY {Thereby eelfy that all information abore ar tue and correct, and of my personal knowledge and belt, and the documents submited Dnerewith ar onignal and/or certified true copies thereat DATA PRIVACY CONSENT Thereby grant the Department of Education the right to collect and process my personal information aa stated above, for PUFPORES decree! tothe ecmument, selection, and placement of personel inthe Department of Bdveation ad fr the ‘a eomplanee ‘vith the laws, rule, and regulation being implemented ty the Civil Service Comission L = Subwcrie and worn to tofore me thin JUN, 272079 _, year 028, belly S, CHUA FaRRCRIDGTAE Tine Oath No. 7983 aa ca i a ep rr een ete ees nS ‘ogiamy Setar redes dame tence accra an ams ame ‘hofan em chord art bac ne ete

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