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Memo- 1 (for Applicants)- Annex B

This document is a checklist of requirements for Melrose M. Hamoy's application for the position of Master Teacher I at Generoso Elementary School. It outlines the necessary documents and certifications needed for submission, including a letter of intent, personal data sheet, and proof of residency. Additionally, it includes an Omnibus Sworn Statement for the applicant to certify the authenticity of the submitted information and consent to data privacy regulations.

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Generoso ES
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8 views

Memo- 1 (for Applicants)- Annex B

This document is a checklist of requirements for Melrose M. Hamoy's application for the position of Master Teacher I at Generoso Elementary School. It outlines the necessary documents and certifications needed for submission, including a letter of intent, personal data sheet, and proof of residency. Additionally, it includes an Omnibus Sworn Statement for the applicant to certify the authenticity of the submitted information and consent to data privacy regulations.

Uploaded by

Generoso ES
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 B

CHECKLIST OF REQUIREMENTS
Name of Applicant: MELROSE M. HAMOY Application Code ELMPOS2412-AC-0204
Position Applied For: MASTER TEACHER I Religion ROMAN CATHOLIC
School applying to: GENEROSO ELEMENTARY SCHOOL Ethnicity N/A
Cluster / District: TALOMO B DISTRICT Person with disability Yes ( ) No ( / )
Contact Number: 0910-5278-916 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.
● Subject Area for Elementary

● 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*
f. Photocopy of latest appointment and/or duly signed Service /
Record
g. Photocopy of the Performance Ratings for the last 3 School /
Years (SYs)
Photocopy of Certificate/s of Training relevant to teaching, if /
h.
applicable
Certified photocopy of Voter’s ID or any proof of /
i. Residency (ex. Barangay Certificate/Clearance)

j. Photocopy of Certificate of Employment, Contract of Service, /


or duly signed Service Record relevant to teaching.
For Teacher II and III Applicants: Additional Requirements-
Documents certified by the school head on outstanding
accomplishments not used in the last promotion/appointment
k. (outstanding employee award, innovation, research and
development, authorship and resource speakership) and other
supporting documents based on DepEd Order No. 66, s. 2007
For Master Teacher Applicants: Additional Requirements- /
*Notarized Class and Individual Program for the last 2 school years
l. (previous and current SYs) and and other supporting documents
based on Division Memorandum No. 1280, s. 2019, MEC No. 10 s.
1979 and DECS Order No. 57, s. 1997P
Checklist of Requirements and Omnibus Sworn Statement /
m. on the Certification on the Authenticity and Veracity (CAV) of
the documents submitted and Data Privacy Consent Form*
*Mandatory requirements
Note: Original copies of the documents above shall be presented upon submission of documents for verification

Attested:
________________________________________
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.

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" , (e)lectronic 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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