Republic of the Philippines

Department of Education
REGION XII
SCHOOLS DIVISION OF SOUTH COTABATO

CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that NAME, POSITION has been employed in this Office
since DATE OF APPOINTMENT. She is currently assigned at Name of School with
the following duties and responsibilities:
1. Assist in the production or reproduction of learning modules, activity
sheets, and other instructional materials;
2. Distribute to and retrieve from learners the supplementary activity
sheets, remediation exercises, and enrichment activities prepared by the
teacher/s;
3. Monitor and track the learners’ accomplishment of the tasks indicated in
the Weekly Home Learning Plan following the timeframe set by the
teacher/s concerned as anchored on the self-learning modules;
4. Clarify any difficulty or confusion that learners may encounter in the
lesson or learning tasks, and coordinate such concern/s with the subject
teacher/s concerned;
5. Guide the learners and/or parents/guardians in the observance of the
prescribed protocols and requirements for implementing the DLDM
employed.

Part of her duties as POSITION involves face to face transaction to

customers which exposes him to a higher risk of contracting COVID-19.

This further certifies that NAME had been on a leave of absence with pay
from Quarantine Period due to COVID-19 infection. Her last day of work before
she was confirmed positive with COVID 19 was on DATE and her date of return to
service was on DATE.

This certification is being issued as a requirement for GSIS/EC COVID

benefit certification

Issued this 28th day of June 2021, Koronadal City.

RUTH L. ESTACIO PhD, CESO VI

Assistant Schools Division Superintendent
Officer In-Charge
Office of the Schools Division Superintendent
SDOSC-OSDS-ADM-COM-v3.0r0.0,effective04/06/2020
Address: Alunan Avenue, Koronadal City, South Cotabato 9506
Telephone Number: (083)228-3801
Email Address: south.cotabato@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION XII
SCHOOLS DIVISION OF SOUTH COTABATO

SDOSC-OSDS-ADM-COM-v3.0r0.0,effective04/06/2020
Address: Alunan Avenue, Koronadal City, South Cotabato 9506
Telephone Number: (083)228-3801
Email Address: south.cotabato@deped.gov.ph