.
Name:
___________________________________________________________________________
______________
(Surname, Firstname, M.I.)
AGENCY/ DISTRICT/SCHOOL:
________________________________________________________________
A. APPOINTMENTS
[ ] Appointment Papers
[ ] Personal Data Sheet (CS Form 212)
[ ] Copies of Certificates of Eligibilities
[ ] Certificate of Training (for the past 3 years)
[ ] Transcripst of Records of Certification from school/college if any
[ ] Position Description Forms
B. CERTIFICATIONS
[ ] Assumption to duty
[ ] Employment/Service Record/Contracts of Services (if applicable)
[ ]Notice of Salary Adjustments/Step Increments
[ ] Certification of Leave Balances (for transferees)
Clearance from property and money accountabilities (for transferees)
[ ] Others
C. COMMENDATIONS AND AWARDS
[ ]
D. COMMUNICATIONS/ORDERS/CASES
[ ] LETTERS/INDORSEMENTS
[ ] Memoranda/Office Order/Designations
[ ] Special Orders
[ ] Copies of Disciplinary Actions (if any)
E. OTHERS
[ ] Copy of Marriage Contract (if applicable)
[ ] Copy of Birth Certificate
[ ] NBI Clearance
Prepared by:
_______________________________________
Alibagu, City of Ilagan, Isabela 3300 deped-isabela.com.ph
(078) 323-0281; (078) 323-2015 Sdo Isabela
isabela@deped.gov.ph
Doc Code: Rev:
As of: Page: 1
Note: Please put a check mark in the appropriate box if the record is present in the 201 file put “X” if the record is not
on file & “N/A if the record is not applicable.
Alibagu, City of Ilagan, Isabela 3300 deped-isabela.com.ph
(078) 323-0281; (078) 323-2015 Sdo Isabela
isabela@deped.gov.ph
Doc Code: Rev:
As of: Page: 2