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ENCLOSURE 3 CHECKLIST OF REQUIREMENTS FOR TEACHER APPLICANTS SY 2023 2024 - Abcdpdf - PDF - To - Word
ENCLOSURE 3 CHECKLIST OF REQUIREMENTS FOR TEACHER APPLICANTS SY 2023 2024 - Abcdpdf - PDF - To - Word
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE
(Enclosure 3)
CHECKLIST OF REQUIREMENTS
Application Code:
Status of Verification
Submission Status of Remarks
Basic Documentary (to be filled out Submission ( to be filled out by the
by the (to be filled out by
Requirements applicant; check the AO II; check if HRMO)
complied)
if submitted)
1 Checklist of Requirements with Omnibus
Sworn Statement on CAV of the documents
submitted and Data Privacy Consent Form
2 Letter of intent addressed to the Schools
Division Superintendent
3 Duly accomplished Personal Data Sheet
(PDS) (CSC Form No. 212 Revised 2017)
and Work Experience Sheet, if applicable
4 Photocopy of Scholastic / Academic Record
e.g. Transcript of Records (TOR) and
Diploma from CHED-recognized
institutions
5 TOR / Certificate for graduate / post
graduate units/degrees earned, if applicable
6 For SHS-TVL applicants, National
Certificate II (NC II) issued by TESDA
7 For SHS-TVL applicants, Trainers
Methodology Certificate I (TMC I) issued by
TESDA
8 Photocopy of certificate(s) of training, if
applicable
9 Photocopy of Certificate of Employment,
Contract of Service, or duly signed Service
Record, whichever is/are applicable
10 Photocopy of Latest Appointment, if
applicable
11 Photocopy of valid and updated PRC
License / ID, if applicable
Checked by:
Attested:
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OMNIBUS SWORN STATEMENT
CERTIFICATION OF AUTHENTICITY AND VERACITY
I hereby 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.
I 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.
JESANI D. SUPANGAN
Teacher I Applicant
In consonance with Republic Act No. 8792 or the “Electronic Commerce Act of 2000”, (e)lectronic documents shall have the legal effect, validity or enforceability as
any other document or legal writing and a) (w)here the law requires a document to be in writing, that requirement is met by an electronic document if the said
electronic document maintains its integrity and reliability and can be authenticated so as to be usable for subsequent reference.