Certification

TABLE OF CONTENTS
I. Application Letter
II. Letter recommendation by the Schools Division Superintendent
III. CSC Form 212 (Personal Data Sheet) with its supporting docu-
ments such as:
3.a. CAV Transcript of Records
3.b. Updated Service Records
3.c. Certificates of Trainings(latest)
3.d. Report of Ratings
IV. Performance Ratings Last 3 years properly signed
V. Name of Subject Area of Assignment
VI. Photocopy of Professional Identification Card (PRC)
VII. Board Rating Results
VIII.Certificate Recognition and Participation
 Worthwhile Income Generating Project
 Grade Level Chairman
 Secondary School Coordinator
 Special Committee to Prepare Instructional Materials
 Chairman to Prepare School Intermediate Schedule of Clas-
ses
 In-Service Training
 Trainor/Coach
 Demonstration Teaching
IX. Ranklist for current school year
X. Proposed ERF for Master Teacher
XI. Plantilla Allocation List
XII. School Form 7 (SF 7)
XIII. Omnibus Certification
Republic of the Philippines
Department of Education
Region VI-Western Visayas
SCHOOLS DIVISION OFFICE OF ESCALANTE CITY
Omnibus of Sworn Statement

January 3, 2019
This is to certify that the following papers/documents pertaining to the professional and personal records of
MERY JEAN A. TIAUZON to wit:
I. Application Letter
II. Letter recommendation by the Schools Division Superintendent
III. CSC Form 212 (Personal Data Sheet) with its supporting documents such as:
3.a. CAV Transcript of Records
3.b. Updated Service Records
3.c. Certificates of Trainings(latest)
3.d. Report of Ratings
IV. Performance Ratings Last 3 years properly signed
V. Name of Subject Area of Assignment
VI. Photocopy of Professional Identification Card (PRC)
VII. Certificate Recognition and Participation
 Simplification of Work
 Special Committee
 Action Research
 Sports Coordinator
 Trainor/Coach
 Club Adviser
 Tournament Manager and Technical Official
 Resource Speaker
IX. National Demonstrator
X. In-Service Training for Teachers
XI. Meritorious Achievements
XII. Trainings and Seminars
XIII. Community Involvement
XIV. Ranklist for Current School Year
XV. Proposed ERF for Master Teacher
XVI. Plantilla Allocation List
XVII. School Form 7 (SF 7)
XVIII. Omnibus Certification
IN WITNESS WHEREOF, I have affixed my signature this 3rd day of January 2019 at Escalante City, Negros Occi-
dental, Philippines.
MERY JEAN A. TIAUZON

Printed Name and Signature of Applicant
Subscribed and sworn to me this ____________ 2019.

Affixed exhibiting to me his/her Community Tax Number ___________ issued on ___________ at Escalante City,
Negros Occidental, Philippines.
Division of Escalante City
OLD POBLACION NATIONAL HIGH SCHOOL
Old Poblacion, Escalante City, Negros Occidental
Tel. No. (034) 454-0796 Email Address: oldpob302626@ymail.com
CERTIFICATION
This is to certify that PRILYN S. ALBARICO has acted as Chairman in the preparation of School Interme-
diate Schedule of Classes for Senior High School.
Herewith is the schedule of classes for SHS (GAS and SMAW) SY 2016-2017, 2017-2018 and SY 2018-
2019.
This certification is issued to PRILYN S. ALBARICO for whatever legal purpose it may serve her best.
ANDREW T. BANGAY
Principal
CERTIFICATION
To Whom It May Concern:
This is to certify that the Performance Rating of PRILYN S. ALBARICO for the last three
years are as follows:
School Year Numerical Rating Descriptive Rating
2018-2019 4.86 Outstanding
2017 - 2018 4.55 Outstanding
2016 - 2017 4.54 Outstanding
AVERAGE RATING: 4.65
Given this 26th day of July, 2019 at Old Poblacion National High School, Old Poblacion,
Escalante City, Negros Occidental.
ANDREW T. BANGAY
Principal

Office Order
No.____ s. 2018
DESIGNATION AS GRADE LEVEL COORDINATOR (G7)
To: MRS. PRILYN S. ALBARICO

Teacher II
Old Poblacion National High School
1. You are hereby designated as Grade Level Coordinator of this institution for the SY 2018-2019.
2. You are to perform all the duties and responsibilities as Grade Level Coordinator.
3. This designation does not carry with it additional remuneration/compensation and will be in force
until rescinded.
4. For your information and compliance.
ANDREW T. BANGAY
Principal I

July 26, 2019
ARLENE G. BERMEJO, CESO VI

OIC-Schools Division Superintendent
Escalante City, Negros Occidental
Maa’m:
This is to recommend MRS. PRILYN S. ALBARICO, Teacher III of this school to reclass vice her own
item from Teacher III to Master Teacher I in Mathematics.
Issued this 15th day of November 2018, at Old Poblacion National High School, Escalante City, Negros
Occidental.
ANDREW T. BANGAY
Principal I
Application Letter Application Letter
CSC Form 212 (Per- CSC Form 212 (Personal

sonal Data Sheet) Data Sheet)
Performance Ratings Performance Ratings

Last 3 years properly Last 3 years properly
signed signed
Updated Service Rec- Updated Service Record

ord
CAV Transcript of CAV Transcript of Rec-

Record ord
Certificates of Trainings Certificates of Trainings

(Latest) (Latest)
Photocopy of Personal Photocopy of Personal

Identification Identification
Card (PRC) Card (PRC)
Board Rating Results Board Rating Results
Certification of Num- Certification of Number

ber of Teachers of Teachers
Teaching the Subject Teaching the Subject
Grade Level Chair- Grade Level Chairman

man/ Coordinator /Coordinator
Special Committee to Special Committee to

Prepare Prepare
Instructional Materi- Instructional Materials
als
Chairma to Prepare Chairman to Prepare
School School
Intermediate Sched- Intermediate Schedule
ule of Classes of Classes
In-Service Training In-Service Training
Trainor/Coach Trainor/Coach
Demonstration Teach- Demonstration Teaching

ing
Omnibus Certification Omnibus Certification
Worthwhile Income Worthwhile Income

Generating Project Generating Project
Secondary School Co- Secondary School Coor-

ordinator dinator
CERTIFICATION
This is to certify that PRILYN S. ALBARICO has performed the duties and responsibilities of a School
LRMDS Focal Person for the SY 2017-2018.
Herewith is the LR Workplan, Accomplishment Report and School Personnel Registration Form For SY
2017-2018 .
This certification is issued to PRILYN S. ALBARICO for whatever legal purpose it may serve her best.
ANDREW T. BANGAY
Principal
CONFORME:
LORELA E. DELOS REYES

8-Peace Adviser
JOAN A. MONDIN
11-Equanimity Adviser
PERLY M. MAPA
School Filipino Coordinator
MARIVIC T. SEDAYON
School SBM Coordinator
JULIAN D. MAHILUM
8-Cheerful Adviser

Certification

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TABLE OF CONTENTS

Omnibus of Sworn Statement

MERY JEAN A. TIAUZON

Subscribed and sworn to me this ____________ 2019.

To Whom It May Concern:

School Year Numerical Rating Descriptive Rating

2018-2019 4.86 Outstanding

2017 - 2018 4.55 Outstanding

2016 - 2017 4.54 Outstanding

AVERAGE RATING: 4.65

Republic of the Philippines

DESIGNATION AS GRADE LEVEL COORDINATOR (G7)

To: MRS. PRILYN S. ALBARICO

4. For your information and compliance.

Republic of the Philippines

July 26, 2019

ARLENE G. BERMEJO, CESO VI

CSC Form 212 (Per- CSC Form 212 (Personal

Performance Ratings Performance Ratings

Updated Service Rec- Updated Service Record

CAV Transcript of CAV Transcript of Rec-

Certificates of Trainings Certificates of Trainings

Photocopy of Personal Photocopy of Personal

Board Rating Results Board Rating Results

Certification of Num- Certification of Number

Grade Level Chair- Grade Level Chairman

Special Committee to Special Committee to

In-Service Training In-Service Training

Demonstration Teach- Demonstration Teaching

Omnibus Certification Omnibus Certification

Worthwhile Income Worthwhile Income

Secondary School Co- Secondary School Coor-

LORELA E. DELOS REYES

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