Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO

Name: ____________________________________ Position: ________________

School: ______________________________________ Rank: ______

No. of REQUIREMENTS For Provisionary REMARK

Copie S
s
x
2 Appointment Processing Checklist
6 Appointment Form (CS Form No. 33-B Revised 2017)
3 Assignment Order duly signed by the appointee
3 Oath of Office (Panunumpa)
3 Certification of Assumption to duty (CS Form No. 4 Series of 2017)
2 Advice for Appointments (1 Original and 1 photocopy)
3 Position Description DBM-CSC Form No. 1 Revised 2017
3 Personal Data Sheet Properly Accomplished ( CS Form 212) – computerized
3 PRC Board Rating duly certified (2 originals and 1 photocopy) (If applicable)
3 PRC ID Card duly certified (2 originals and 1 photocopy) (If applicable)
2 NC II and TMC I (If Technical Vocational Livelihood Track)
3 Publication
2 Ranklist
3 NOSCA (If New Item)
3 Approved Authority to Fill (If Natural Vacancy) (photocopy only)
2 Certification/Justification for Proposed Appointee
3 Transcript of Records (2 originals and 1 photocopy)
-Certified by the school registrar for SUCs
-CAV from CHED for private schools
3 Latest Appointment (photocopy only)
3 Live Birth PSA duly certified (1 original 2 photocopies)
3 Marriage Contract with original copy (1 original 2 photocopies)
3 Medical Certificate (Form 211 Rev. 2018)

REMARKS/COMMENTS/RECOMMENDATIONS (e.g. Subject for Compliance):

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

Checked by: _______________________________

(Processor)
Date Received: _______________________________

Reviewed by: ______________________________