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Department of Education
Region 02
Schools Division of Nueva Vizcaya
Bayombong

PROPOSAL SHEET FORM I

for _________________________

/ Permanent Promotion Provisional Contractual Transfer

FINAL ASSIGNMENT OF APPOINTEE

VACANCY PROPOSED APPOINTEE PROPOSED TRANSFER
(attach data - driven support)

Name: Name: Educational Qualification: Total Working Experience: Caused by Vacancy:

3 mos. SDO - OSDS
School: Home Address: Nature of RQA: Name:

Grade Teaching: Eligibility: From:

Cause: Nature of Appointment: Average: To:

Effectivity: Place:
Inclusive Dates: Date:
ITEM NO. OSEC-DECSB-
PUBLISHED AT:
Date of Assessment: Reviewed by:
Date of Deliberation:
OFELIA A. FLORES MARITESS E. VIDAD
Proposed by: Administrative Officer IV Administrative Officer V
Date: _______________ Date: _________________

School Principal RECOMMENDING APPROVAL:

EDUARDO C. ESCORPISO JR., EdD., CESE
OIC, Office of the Asst. Schools Division Superintendent
Noted: (for Elementary Schools only) Chairman, Division Selection Committee
Date: _____________________
APPROVED:

District Supervisor FLORDELIZA C. GECOBE, PhD., CESO VI

OIC, Office of the Schools Division Superintendent
Date: _____________________
 Department of Education
Region 02
Division of Nueva Vizcaya
Bayombong

PROPOSAL SHEET FORM I

for SUBSTITUTE TEACHER

FINAL ASSIGNMENT OF APPOINTEE

VACANCY PROPOSED APPOINTEE PROPOSED TRANSFER
(attach data - driven support)

Name: Name: Educational Qualification: Total Working Experience: Caused by Vacancy:

School: Home Address: nature of RQA: Name:

Grade Teaching: School Address: Eligibility: From:

Cause: Nature of Appointment: Average: To:

Date:
Inclusive Dates: Place:
ITEM NO. OSEC-DECSB-
PUBLISHED AT: N/A
Proposed by: Reviewed by:

OFELIA A. FLORES MARITESS E. VIDAD

School Principal Administrative Officer IV Administrative Officer V
Date: _______________ Date: _________________

Noted: (for Elementary Schools only) RECOMMENDING APPROVAL:

EDUARDO C. ESCORPISO, JR., EdD., CESE
OIC, Office of the Asst. Schools Division Superintendent
Chairman, Division Selection Committee
District Supervisor Date: _____________________

Funds Available: APPROVED BY:

FLORDELIZA C. GECOBE, PhD., CESO VI

EMERSON B. BALUT, CPA OIC, Office of the Schools Division Superintendent
ACCOUNTANT III Date: _____________________