Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
SUBSTITUTE (REEMPLOYMENT/
REAPPOINTMENT) ELEMENTARY, JHS, SHS
Name: ______________________________
District/School__________________________
Recommendation from the School Head, noted by
PSDS (indicate the school assignment, incumbent
and item no.) (1 original)
Oath of Office (CS Form No. 32 Revised 2018) w/
documentary stamp (3 original) (A4)
Personal Data Sheet (CS Form No. 212 Revised
2017) (3 original) (long back to back)
Work Experience Sheet (3 original) (long)
Authenticated PRC License (2 original, 1
photocopy)
Position Description Form (CS Form No. 1) (3
original) (long back to back)
Authenticated Transcript of Records (2 original,
1 photocopy)
Medical Certificate (CS Form No. 211 Revised
2018) (1 original) (A4)
- Blood Test (1 original)
- Urinalysis (1 original)
- Chest X-Ray (1 original)
- Drug Test ( original)
- Neuro-Psychiatric Examination (1 original)
NBI Clearance (1 original)
PSA/NSO Birth Certificate (1 original, 1
photocopy)
PSA/NSO Marriage Certificate (if married) (1
original, 1 photocopy)
Request for ARA Form
Photocopy of latest appointment
Plantilla (1 photocopy)
Photocopy of Form 6 of the incumbent
Approved Certificate of Fund Availability (1
photocopy) (ELEM, SHS, JHS NON - IU)
Authenticated NC2 relevant to the track for SHS TVL
appointee
Note: Photocopy of NBI, medical certificate and
medical results will be accepted if still valid (1 year
validity for NBI and medical result)
DEPEDQUEZON-SDO-PER-04-031-005
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
SUBSTITUTE (REEMPLOYMENT/
REAPPOINTMENT) ELEMENTARY, JHS, SHS
Name: ______________________________
District/School__________________________
Recommendation from the School Head, noted by
PSDS (indicate the school assignment, incumbent
and item no.) (1 original)
Oath of Office (CS Form No. 32 Revised 2018) w/
documentary stamp (3 original) (A4)
Personal Data Sheet (CS Form No. 212 Revised
2017) (3 original) (long back to back)
Work Experience Sheet (3 original) (long)
Authenticated PRC License (2 original, 1
photocopy)
Position Description Form (CS Form No. 1) (3
original) (long back to back)
Authenticated Transcript of Records (2 original,
1 photocopy)
Medical Certificate (CS Form No. 211 Revised
2018) (1 original) (A4)
- Blood Test (1 original)
- Urinalysis (1 original)
- Chest X-Ray (1 original)
- Drug Test ( original)
- Neuro-Psychiatric Examination (1 original)
NBI Clearance (1 original)
PSA/NSO Birth Certificate (1 original, 1
photocopy)
PSA/NSO Marriage Certificate (if married) (1
original, 1 photocopy)
Request for ARA Form
Photocopy of latest appointment
Plantilla (1 photocopy)
Photocopy of Form 6 of the incumbent
Approved Certificate of Fund Availability (1
photocopy) (ELEM, SHS, JHS NON - IU)
Authenticated NC2 relevant to the track for SHS TVL
appointee
Note: Photocopy of medical certificate and medical
results will be accepted if still valid (1 year validity
from the date of result)
DEPEDQUEZON-SDO-PER-04-031-005