Name of Applicant: Position Applied For: Annexe (CHECKLIST OF REQUIREMENTS a _ Application Code: Ollie of the Position Applied For: ~ Contact Number: Religion: —_ aes Ethnicity - Person with Disability: Yes( ) No( } Solo Parent: Yes( } Nol) Verification Pannen FPobe fie he HOMO HR Office! subromuatee) Basic Documentary Requirement tobejiatattyise | Status of copicat Submission Remarks Check Fsubritedl | eye peony Tratter al intent addressed to the Head of Office or Highest lnuman resource officer [Duly accomplished Personal Data Sheet (PDS) [CS Form No. 212, Revised 2017) and Work Experience Sheet, i lapplicable [Photocopy of valid and updated PRO License/iD, # applicable [Photocopy of Certdfeate of Eligibiity Report of Rating, lapplicable Photocopy of echolastic academic record such as but not limited to Transcript of Records (TOR) and Diploma, including |completion of graduate and post-graduate units/degrees, if lavailable [Phorocopy of Gertificate/s of Training, applicable Photocopy of Certificate of Employment, Contract of Sewice, oF lduly signed Service Record, whichever is/are applicable [Photocopy of atest appointment, if applicable [Photocopy of the Performance Ratings in the last rating pperiod{s| covering one (1) year performance prior to the deadtine| lof submission, if applicable (Checiist of Requirements and Omnibus Sworn Statement on Iche Certification on the Authenticity and Veracity (CAV) of the ldocuments submitted and Data Privacy Consent Form [Other documents as may be required ‘or comparative lassessment, such as but not limited to [Means of Verification (MOVs) showing Outstanding laccoraplishments, Application of Education, and Application of Leaming and Development reckoned from the date of last issuance of appointment [Photocopy of Performance Rating cblained (rom the relevant worl experience, i performance rating in Iter (i) is not relevant to the position to be filled Attested: Human Resource Management Officer OMWNIBUS SWORN STATEMENT (CERTIFICATION OF AUTHENTICITY AND VERACITY Unereby certify that all information above are true and correct, and of my personal knowledge and belief, and the documents submitted herewith are original and/or certified true copies thereof. DATA PRIVACY CONSENT hereby grant the Department of Education the right to collect and process my personal information as stated above, for purposes, relevant to the recruitment, selection, and placement of personnel of the Department and for purposes of compliance with the laws, rules, and regulations being implemented by the Civil Service Commission. ‘Name and Signature of Applicant ‘Subscribed and sworn to before me this _ day of vyear__ Person Administering Oath tn omsonanee wih Republic Ae No 792 or the "Stone Commu Ac 2000", efecvonic document sl ve the legal et lity o enn ay other euro nga wring a here he a egress devoet to be win, tas egustent et by an ees denen Ue ur elon doce ‘Bute ts nee an ebay and canbe wtentated sos tobe Uae or subaeguen lee