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Bahian

This document is a checklist of requirements for an applicant applying for the position of Teacher 1 at Lano National High School. It lists basic documentary requirements such as a letter of intent, personal data sheet, academic records, license, training certificates, employment records, and proof of residency. The applicant must check off items submitted and the human resources office verifies receipt. The applicant also provides an omnibus sworn statement to certify the authenticity and accuracy of the documents and consents to the processing of personal information for recruitment purposes according to civil service and data privacy laws.

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0% found this document useful (0 votes)
17 views

Bahian

This document is a checklist of requirements for an applicant applying for the position of Teacher 1 at Lano National High School. It lists basic documentary requirements such as a letter of intent, personal data sheet, academic records, license, training certificates, employment records, and proof of residency. The applicant must check off items submitted and the human resources office verifies receipt. The applicant also provides an omnibus sworn statement to certify the authenticity and accuracy of the documents and consents to the processing of personal information for recruitment purposes according to civil service and data privacy laws.

Uploaded by

tanfrancine1926
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:JERRALYN BARTOLABA BAHIAN Application Code: _____________


Position Applied For: TEACHER 1
Office of the Position Applied For: LANAO NATIONAL HIGH SCHOOL
Contact Number: 09515039072
Religion: ROMAN CATHOLIC
Ethnicity: CEBUANO
Person with Disability: Yes ( ) No ( / )
Solo Parent: Yes ( ) No ( / )

Status of Verification (To be filled-out by the


Basic Documentary Requirements Submission (To HRMO/HR Office/sub-committee)
be filled-out by
the applicant;
Check if
submitted) Status of Remarks
Submission
(Check if
complied)
a. Letter of intent addressed to the Head of Office or highest Human
Resource Officer
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 deadline of
submission, if applicable
j. Photocopy of proof of residency
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 Form
l. Other documents as may be required for comparative assessment,
such as but not limited to:
m. 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

n. 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 Head

OMNIBUS SWORN STATEMENT

CERTIFICATION OF AUTHENTICAITY 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 purpose 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 __________.

In consonance with Republic Act No. 8792 or the “Electronic Commerce Act of
2000”, (e)electronics documents shall have the legal effect, validity Person Administering Oath or enforceability
as any other document or legal writing and a) (w)here the law requires a
document to be in writing, that requirements 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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