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Attestation Process Checklist Sample Format-D

1. The document is a checklist form used by the Civil Service Commission National Capital Region - Department of Science and Technology Field Office (CSCNCR-DOSTFO) to evaluate the attestation process for uniformed personnel seeking original appointment or regular promotion. 2. It lists 17 criteria that must be met, including educational and experience qualifications, submission of required documents like a personal data sheet and oath of office, and ensuring there are no pending legal or administrative issues. 3. The form is signed off on by an evaluator and director once approved or noted if disapproved along with the reason.

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Rainnier
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76 views6 pages

Attestation Process Checklist Sample Format-D

1. The document is a checklist form used by the Civil Service Commission National Capital Region - Department of Science and Technology Field Office (CSCNCR-DOSTFO) to evaluate the attestation process for uniformed personnel seeking original appointment or regular promotion. 2. It lists 17 criteria that must be met, including educational and experience qualifications, submission of required documents like a personal data sheet and oath of office, and ensuring there are no pending legal or administrative issues. 3. The form is signed off on by an evaluator and director once approved or noted if disapproved along with the reason.

Uploaded by

Rainnier
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

CSCNCR-DOSTFO Checklist Form 1

Revised 08.04.2020

ATTESTATION PROCESS CHECKLIST


For Uniformed Personnel (Original Appointment/Regular Promotion)

First Name Middle Name Surname Extension Name (e.g. Jr., Sr)
Name

Position Title/Rank SG/Step: Date of Birth:

Annual Compensation Place of Birth:

Agency Sector oRegulated oAccredited/Deregulated

Area Criteria Yes No Remarks


1. Education: Bachelor's Degree
with Master's Degree
Qualification 2. Time-In-Grade (Experience)
Standard
3. Training
4. Eligibility
5. KSS Form No. 33-A, Rev. 2018, 3
original copies
a. Employment Status
b. Nature of Appointment
c. Signature of Appointing Authority
d. Date of Signing
e. Certification of Publication
f. Certification by 1PSB Chairperson
g. Appointee's Signature at
Acknowledgement/Date

Common 6. Updated Personal Data Sheet (Item V-F


Requirements & A) (CS Form No. 212, Rev. 2017

7. Original copy of the authenticated


Certificate of Eligibility
(COE)/rating/license for original
appointment, promotion, transfer,
reappointment (change of status to
permanent) or reemployment
8. Position Descrption Form (PDF)
DBM-CSC Form No. 1 (Rev. Ver 1, s. 2017)
9. Oath of Office (CS Form No. 32, Rev.
2018)
10. Certificate of Assumption to Duty
(CS Form No. 4, Rev. 2018)
11. Erasures or Alterations on
Appointment (CS Form No. 3, Rev. 2017)
12. With Decided
Administrative/Criminal Case
(Resolution/Decision) CTC of
Decision issued (Office,
Court/tribunal)
13. With pending criminal case
Additional pursuant Command MC No. 10-2015
Requirements in dated May 6, 2015
Specific Case
14. Discrepancy in Name, Date/Place
of Birth as appearing in the Report of
Rating or COE, appointment, service
card and the entries in the PDS
15. Change of Civil Status
16. COMELEC Ban
17. Others:
FOR CSCNCR-DOST FO ACTION
APPROVED o Notation:
DISAPPROVED o Ground:
Evaluated by: DATE
Final Action by:
MARGARITA G. REYES DATE
Director II
National Capital Region CSCNCR-DOST Field Office
CSCNCR-DOSTFO Checklist Form 1
Revised 08.04.2020

ATTESTATION PROCESS CHECKLIST


For Uniformed Personnel (Original Appointment/Regular Promotion)

First Name Middle Name Surname Extension Name (e.g. Jr., Sr)
Name

Position Title/Rank SG/Step: Date of Birth:


Annual
Compensation Place of Birth:
Agency Sector oRegulated oAccredited/Deregulated

Area Criteria Yes No Remarks


1. Education: Bachelor's Degree
with Master's Degree
Qualification 2. Time-In-Grade (Experience)
Standard
3. Training
4. Eligibility
5. KSS Form No. 33-A, Rev. 2018, 3
original copies
a. Employment Status
b. Nature of Appointment
c. Signature of Appointing Authority
d. Date of Signing
e. Certification of Publication
f. Certification by 1PSB Chairperson
g. Appointee's Signature at
Acknowledgement/Date
6. Updated Personal Data Sheet (Item V-F
Common & A) (CS Form No. 212, Rev. 2017
Requirements
7. Original copy of the authenticated
Certificate of Eligibility
(COE)/rating/license for original
appointment, promotion, transfer,
reappointment (change of status to
permanent) or reemployment

8. Position Descrption Form (PDF)


DBM-CSC Form No. 1 (Rev. Ver 1, s.
2017)
9. Oath of Office (CS Form No. 32, Rev.
2018)

10. Certificate of Assumption to Duty


(CS Form No. 4, Rev. 2018)

11. Erasures or Alterations on


Appointment (CS Form No. 3, Rev. 2017)

12. With Decided


Administrative/Criminal Case
(Resolution/Decision) CTC of
Decision issued (Office,
Court/tribunal)

Additional 13. With pending criminal case


Requirements in pursuant Command MC No. 10-2015
dated May 6, 2015
Specific Case
14. Discrepancy in Name, Date/Place
of Birth as appearing in the Report of
Rating or COE, appointment, service
card and the entries in the PDS

15. Change of Civil Status


16. COMELEC Ban
17. Others:
FOR CSCNCR-DOST FO ACTION
APPROVED o Notation:

DISAPPROVED o Ground:
Evaluated by: DATE
Final Action by:
MARGARITA G. REYES DATE
National Capital Director II
CSCNCR-DOST Field Office
Region
CSCNCR-DOSTFO Checklist Form 1
Revised 08.04.2020

ATTESTATION PROCESS CHECKLIST


For Uniformed Personnel (Original Appointment/Regular Promotion)

First Name Middle Name Surname


Name

Position Title/Rank SG/Step: Date of Birth:


Annual
Compensation Place of Birth:

Agency Sector oRegulated

Area Criteria Yes No Remarks


1. Education: Bachelor's Degree
with Master's Degree
Qualification 2. Time-In-Grade (Experience)
Standard
3. Training
4. Eligibility
5. KSS Form No. 33-A, Rev. 2018, 3
original copies
a. Employment Status
b. Nature of Appointment
c. Signature of Appointing Authority
d. Date of Signing
e. Certification of Publication
f. Certification by 1PSB Chairperson
g. Appointee's Signature at
Acknowledgement/Date
Common 6. Updated Personal Data Sheet (Item V-F &
A) (CS Form No. 212, Rev. 2017
Requirements
7. Original copy of the authenticated
Certificate of Eligibility
(COE)/rating/license for original
appointment, promotion, transfer,
reappointment (change of status to
permanent) or reemployment

8. Position Descrption Form (PDF)


DBM-CSC Form No. 1 (Rev. Ver 1, s. 2017)
9. Oath of Office (CS Form No. 32, Rev. 2018)
10. Certificate of Assumption to Duty
(CS Form No. 4, Rev. 2018)

11. Erasures or Alterations on


Appointment (CS Form No. 3, Rev. 2017)

Additional
Requirements
in Specific Case
12. With Decided
Administrative/Criminal Case
(Resolution/Decision) CTC of Decision
issued (Office, Court/tribunal)

13. With pending criminal case


Additional pursuant Command MC No. 10-2015
Requirements dated May 6, 2015
in Specific Case
14. Discrepancy in Name, Date/Place of
Birth as appearing in the Report of
Rating or COE, appointment, service
card and the entries in the PDS

15. Change of Civil Status


16. COMELEC Ban
17. Others:
FOR CSCNCR-DOST FO ACTION
APPROVED o Notation:

DISAPPROVED o Ground:
Evaluated by: DATE
Final Action by:
MARGARITA G. REYES DATE
Director II
National Capital
CSCNCR-DOST Field Office
Region
motion)

Extension Name (e.g. Jr., Sr)

oAccredited/Deregulated

Remarks

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