CHECKLIST OF REQUIREMENTS

Name of Applicant: ___________________________ Application Code:___________

School Applied For: __________________________
Office of the Position Applied For:________________
Contact Number: _____________________________
Religion:____________________________________
Ethnicity: ___________________________________
Person with Disability: Yes [ ] No [ ]
Solo Parent Yes [ ] No [ ]
Basic Documentary Requirements Status of Verification
Submission
( to be filled by the Status of Remarks
applicant:
Check if submitted) Submission
a. Letter of intent addresses to the Head of Office
or Highest human resource officer.

B Duly accomplished Personal Data Sheet (PDS)

(CSC Form No. 212, Revised 2017)
and Work Experience Sheet
c. Photocopy of valid and updated PRC License
d. Photocopy of Report of Rating
e. Photocopy of scholastic/ academic record such
as

 Transcript of Records (TOR)

 Diploma
 GWA
 Graduate and post-graduate units/ degrees.
f Photocopy of Certificate of Training
 EIM NCII
 TM1
 Computer Tutorial
g Photocopy of Certification of Employment
 JARS Academy
 DATS technical School
 Xavier de Kibangay High School
 Jasaan Nation High School
h Photocopy of Performance Ratings

i. Photocopy of Certificates
 Certification of Participation (Leadership
Seminar)
 Certificate of Appreciation (Career
Guidance Program)
 Certificate of Participation ( INSET -Xavier
de Kibangay High School)
 Certificate of Participation ( INSET -Jasaan
National High School)
 Certificate of Recognition (Demo Teacher)
Photocopy of Voter’s Certificate
j.
k. Omnibus Sworn Statement on the Certificate
on the Authenticity and Veracity (CAV) of the
documents submitted and Data Privacy
Consent Form

Attested:
_____________________________________
Human Resource Management Officer