Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
SCHOOLS DIVISION OFFICE OF NUEVA VIZCAYA
Bayombong

CHECKLIST OF APPOINTMENT
(Teacher I Regular/Permanent)
(Note: All requirements should be in 3 copies)

Name: ______________________________ ______________________ _____

Surname First Name MI
Address: ___________________________
REQUIREMENTS PERSON RESPONSIBLE
School Head
1. Proposal Sheet Template (can be downloaded from Division Office’s
website: http://deped-nv.com/issuances_forms.php)
2. Certificate of Rating Applicant
3. NOSCA or Plantilla (for new created item) Division Office – HRMO
Applicant
4. Form 212 (Personal Data Sheet, Revised 2005) (can be downloaded from Division Office’s
website: http://deped-nv.com/issuances_forms.php)

5. PRC Verification (Signed by PRC Regional Officer) Applicant

(can be downloaded from Division Office’s
(one original copy and 2 xerox copies)
website: http://deped-nv.com/issuances_forms.php)
6. Authenticated PRC ID (by PRC Regional Personnel) (one original Applicant
copy and 2 xerox copies)
7. Authenticated PRC/ PBET Rating (by PRC/CSC Regional
Applicant
Personnel) (one original copy and 2 xerox copies)
Applicant
8. Panunumpa sa Katungkulan with 3 BIR Documentary Stamp (can be downloaded from Division Office’s
website: http://deped-nv.com/issuances_forms.php)

9. Form 1 (Position Description Form with Duties and Applicant

(can be downloaded from Division Office’s
Responsibilities) website: http://deped-nv.com/issuances_forms.php)
Applicant
10. IPCRF (can be downloaded from Division Office’s
website: http://deped-nv.com/issuances_forms.php)
11. Performance Rating (2014-2015/2015-2016 Applicant
12. Form 211 (Medical Certificate, Revised 1998, with 3 BIR Applicant
(can be downloaded from Division Office’s
Documentary Stamp) website: http://deped-nv.com/issuances_forms.php)
13. Original Result of the Psycho-Neuro Examination (attached
Applicant
laboratory results) - (one original copy and 2 xerox copies)
14. Latest Approved Appointment (if any) Applicant
15. NBI and other clearances (Police Clearance, Brgy. Clearance
Applicant
and Municipal Clearance)
16. Transcript of Records (Authenticated by the school from
Applicant
where he/she graduated)
17. Diploma (Authenticated by the school from where he/she
Applicant
graduated)
18. Clearance from previous employer for Non-DepEd
Applicant
applicants
19. Clearance from the school for DepEd applicants Applicant
****Please arrange according to the checklist