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Annex C Teacher I Checklist

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10 views

Annex C Teacher I Checklist

Uploaded by

nice masicampo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Annex C

CHECKLIST OF REQUIREMENTS
(Teacher I Position)

Name of Applicant: Nice M. Lobrigas Application Code Elem2402-AC-0007


Position Applied For: Teacher I Religion Christian
Don Juan Dela Cruz Central
School applying to: Ethnicity Bagobo Tagabawa
Elementary School
Cluster / District: Daliaon District Person with disability Yes ( ) No ( / )
Contact Number: 0927-021-9894 Solo Parent Yes ( ) No ( / )

Verification
Status of
(To be filled-out by the HRMO/HR Office/Sub-
Submission
Committee)
Basic Documentary Requirements (To be filled-out
by the applicant. Status of
Check if Submission Remarks
submitted)
(Check if complied)

Letter of intent addressed to the Schools Division Superintendent


indicating the following:*
● Applicant Code Number
a.
● Strand & Track for SHS / Subject Area for JHS

● The school applying to


Duly accomplished Personal Data Sheet (PDS)
b.
(CS Form No. 212, Revised 2017) and Work Experience Sheet*

Photocopy of valid and updated PRC License/ID with at least


c.
6 months validity from the time of application**

d. Photocopy of Certificate of Eligibility/Report of Rating**

Photocopy of Transcript of Records (TOR), and Certification,


e. Authentication and Verification (CAV) in bachelor’s degree and
highest educational attainment*
Photocopy of Certificate/s of Training relevant to teaching, if
f.
applicable
Certified photocopy of Voter’s ID or any proof of
g. Residency (ex. Barangay Certificate/Clearance)

h Photocopy of Certificate of Employment, Contract of Service, or


. duly signed Service Record relevant to teaching.

i. For Senior High School TVL applicants: NC II with at least 6


months validity after submission of application*
Checklist of Requirements and Omnibus Sworn Statement on
j. the Certification on the Authenticity and Veracity (CAV) of the
documents submitted and Data Privacy Consent Form*

*Mandatory requirements
**Mandatory requirements to all applicants except for SHS applicants who are non-LET passers
Note: Original copies of the documents above shall be presented upon submission of documents for verification

Attested:

________________________________________
HRMO/School Receiving In-Charge with signature

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.

NICE M. LOBRIGAS, LPT.


Name and Signature of Applicant

Subscribed and sworn to before me this _12th day of __March__, year ___2024_____.
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) (w)here 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.

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