Form of Ranking Teacher I Position

In Public Elementary School (SY. 2019-2020)

SCHOOL SELECTION COMMITTEE

Verification of Documents

District/School: MAMBURAO_

1 2 3 4 5 6 7 8 9 10 11 12 13
Name of Applicant Residence Remarks
Marianne P. Ortega Brgy. 6, Mamburao, Occ. Mindoro

Documents to be submitted:
1. Written Application 8. Neuro Psychiatric Certificate
2. CSC form 212 (revised 2017) in two copies with the latest 9. Medical Certificate
2x2 picture 10. NBI Clearance
3. Certified photocopy of PRC professional identification card 11. Voter’s ID/ Certificate or any proof of residency as deemed
4. Certified photocopy of ratings obtained in the licensure examination for teachers acceptable by the school screening committee
5. Certified photocopy of transcript of record 12. BIR 1902/2305 assets and liabilities
6. Copies of service of record, performance rating and school 13. Omnibus certification of authenticity and veracity of all documents
clearance for those with experience submitted, signed by the applicant
7. Certificate of specialized trainings

CERTIFICATION
This is to certify that the documents of the above-named applicant have been verified by the school selection committee.

_____________________ ______________________ _____________________ ______________________

Member Member Member Member

_______________________
School Head