Omnibus T1 SGC

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 4

Omnibus Certification for Teaching Positions

Republic of the Philippines


Department of Education
REGION XII
SCHOOLS DIVISION OFFICE OF COTABATO

CHECKLIST OF REQUIREMENTS
Name of Applicant: SHEINA GRACE P. CARADO ______________________________ Application Code: ______________________________
Position Applied For: Teacher - I ____________________________________________Ethnicity: Filipino ____________________________________
Office of the Position Applied For: Schools Division of Cotabato _____________ Person with Disabilty: Yes ( ) No ( / )
Contact Number: 09959476228 _____________________________________________Solo Parent: Yes ( ) No ( / )
Religion: Roman Catholic ___________________________________________________

Verification (To be filled-out by


the HRMO/HR Office/sub-
Status of Submission (to
Basic Documentary Requirement be filled-out by the applicant; committee)
Check if submitted) Status of
Submission Remarks
(Check if complied)

1 Letter of Intent addressed to the Schools Division Superintendent

Duly Accomplished PDS (CS Form No. 212, Revised 2017) with the
2
latest 2x2 ID picture and Work Experience Sheet, if applicable

3 Photocopy of Valid and Updated PRC License or ID, if applicable

Photocopy of Certificate of Eligibility/Report Ratings obtained in the


4 Licensure Examination for Teachers (LET) / Professional Board
Examination for Teachers (PBET), if applicable

Photocopy of Scholastic/ Academic Records such as but not limited to


5 Transcript of Records (TOR) and Diploma, including completion of
graduate and post- graduate units/degrees, if available

Photocopy of Certificate of Employment , Contract of Service or duly


6
signed Service Record whichever is/are applicable

7 Photocopy of Latest Appointment, if applicable

Photocopy of Performance Ratings in the last rating period/s covering


8
one (1) year performance prior to the assessment, if applicable

Photocopy of Performance Rating obtained from the relevant work


9 experience, if performance rating in item letter h, is not relevant to
the position to be filled

10 Photocopy of Certificate of Trainings/Specialized, if applicable

Means of Verification (MOVs) showing Outstanding Accomplishments,


11 Application of Education, and Application of Learning and
Development reckoned from the date of last issuance of appointment

Photocopy of Voters ID and/ or proof of residency as deemed


12
acceptable by the School Screening Committee

13 Photocopy of NBI Clearance

14 Checklist of Requirements and Omnibus Certification/Waiver

15 Other documents as may be required

Attested

JOBANIE E. TACADAO
Shool Head

OMNIBUS SWORN STATEMENT


CERTIFICATION OF 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.

SHEINA GRACE P. CARADO


SHEINA GRACE P. CARADO
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", (electronic documents shall have the legal
effect, validity or enforceability as any other document or legal writing and a) (where 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.

Page 1 of 1
Page 1 of 1

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy