BJMPRO IV-A Copy

TABLE OF CONTENTS
(201 File)

PERSONAL DOCUMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A

1. Personal Data Sheets -CSC Form 212(2017)]

2. Original Copy of Marriage Contract issued by PSA (if applicable)
3. Original Copy of Birth Certificate issued by PSA
4. Original Copies of Birth Certificate(s) of Children issued by PSA (if applicable)

RECORD OF APPOINTMENTS AND DESIGNATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B

1. Original Service Records (including those from other government agencies)

2. Authenticated copy of Appointments [CSC Form (1985)] (for attestation)
3. Designations (Authenticated Copy of General/Special Orders)
4. Original Copy of Assumption of Duty
5. Authenticated/Original copies of Oath of Office and Certificate of Undertaking
6. Original copy of Position Description Form
7. Authenticated copies of Contracts of Service (if applicable)
8. Notices of Base Pay/Salary Adjustments

Qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C

1. Copies of Certificates of Eligibility (authenticated by PRC/CSC)

2. Authenticated copy of Eligibility Verification
3. Copies of Diplomas including post-graduate studies (authenticated by the school)
4. Transcript of Records (authenticated by the school)
5. Authenticated Copy of TOR verification
6. Photocopies of Certificates of Training

Longevity Pay Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D

Performance Evaluation Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E

Leave Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F

Statement of Assets and Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .G

Miscellaneous Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H

1. Required Entry-Level Documents

a. Authenticated copy of Applicant’s Evaluator Card
b. NCIP/NCMF Cerficate (authenticated by NCIP/NCMF
c. Authenticated Initial Medical Evaluation Form
d. Authenticated Medical Certificate (CS Form 211) and laboratory results
e. Clearances from NBI, Brgy., Police, Prosecutor’s Office, MTC and RTC
(original/authenticated by the issuing office)
f. Background Investigation results
2. Certificates of Leave Balance (if transferee from another government agency)
3. Commendation and Awards
4. Copy of Disciplinary Actions (if any)

Post-Service Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I

1. Retired/Separation Order
2. Death Certificate
3. Clearances
4. Adjudication Board Resolution (if applicable)
5. Other documents for processing claims