STEPS IN APPLYING FOR POSITION AT QMC

1. Submit letter of Intent and Part I requirement to HR and to be forwarded to the Chief of Clinics.
2. Wait for the date of interview conducted by the Credential Committee.
3. Endorsement for recommendation to the Provincial Governor Thru the Chief of Clinics and Chief of Hospital
4. For Approved by the Provincial Governor
5. Assumption of work.
6. Submission of Part II requirements.
7. Submission of Part III requirements

REQUIREMENTS (5 sets)
Appendix
Part I
 Letter of intent stating position and department being applied for
(Medical Officer III- Casual / JO, Medical Specialist-II Casual/ JO - Section of Orthopedics, Department of Surgery)
addressed to Provincial Governor thru QMC Chief of Hospital
Copy furnished to Credential Committee,
Chief of Clinics Department / Section Head and Human Resources Department.

Example:
To: ANGELINA DL. TAN, MD, MBAH
Provincial Governor
Province of Quezon

THRU: JUAN EUGENIO FIDEL B. VILLANUEVA, MD, MBAH, FPCHA, FPSQua, BSP, PMP
Chief of Hospital
Quezon Medical Center

AUGUSTINA M. CABANGON, MD, FPPS

OIC - Chief of Clinics

JONATHAN M. GARCIA, MD, FPCS, FPSGS, FPALES

Chairman, Department of Surgery

ERIK JOSEPH B. WONG, MD, FPOA

Head. Section of Orthopedics

ELISA M. LUMAGUI
Head, Human Resource Department

 4 recent ID Picture 2x2

 Transcript of Records / certified true copy if - xerox
 Diploma from Medical School - xerox
 Certificate of Completion of Residency training program (for MS) - xerox
 Specialty Board Certificate (for MS) - xerox
 Personal Data Sheet (PDS) downloadable
 Updated PRC (authenticated)
 Updated PhilHealth Accreditation Stating Specialty Classification (for MS) - xerox

PART II (ORIGINAL COPY)

 5 Sets of Personal Data Sheet (PDS)-notarized

 Updated PRC (authenticated)
 Transcript of Records / certified true copy if xerox
 Medical Certificate – Government Issue
 CBC
 Urinalysis
 X-ray
 Drug Test
 NBI Clearance
 PSA Birth Certificate
 PART III
FOR THE OFFICE OF THE PROVINCIAL ACCOUNTANT
PAYROLL & REMITTANCE DIVISION

REQUIREMENTS FOR THE FIRST SALARY

NEWLY HIRED EMPLOYEES

1. Obligation Request (c/o of your assigned office)

2. Appointment (2 Photocopies Certified by HRMO)
3. Certificate of Assumption of Office (2 Photocopies Certified by HRMO and assigned office)

ACCOUNTING REQUIREMENTS:
BIR FORM
if without TAX identification Number (TIN)
A. BIR Form 1902 (to be filled in BIR)
B. ATTACHMENT:
1. Employee’s Photocopy of Birth Certificate
2. Photocopy of Marriage Contract (if Applicable)

If with TAX Identification Number (TIN)

A. BIR Form 1905

To be filled No. 6 Other Updates (Update of Employment);
No. 11 (000-633-148 Provincial Government of Quezon)
for JOB ORDER Position
a. 1901 form
b. 0605 / with receipt of payment of Annual Fee
c. SWORN Declaration Form (Notarized and w/ Doc Stamp)
B. BIR Form 2316 from PREVIOUS EMPLOYER (If Applicable)
C. Certificate of NO PREVIOUS EMPLOYER (If Applicable)

*Kindly fill in all applicable spaces & boxes. And submit forms with complete attachment.

6. PAG-IBIG Photocopy of UPDATED Member’s Data Form and PAG-IBIG ID if available.

For Update of Employment Status (Provincial Government of Quezon) attached copy of Plantilla
7. PHILHEALTH Photocopy of UPDATED Member’s Data Record (MDR).
For Update of Employment Status
(INTEGRATED PROVINCIAL HEALTH OFFICE/ Employer No. 14245600007)
attached copy of Plantilla and ER2 with Signature of Chief of Hospital
8. GSIS (Printed Member Data Sheet with BP NUMBER/ARA from HR Capitol).
(for Request of ARA) BP Number and PSA Birth Cert - xerox

IN CASE OF TRANSFER
1. Clearance from Previous Office (Certified true copy)
2. Certificate of Last Salary Receive certified by the Chief Accountant and duly verified by the assigned
auditor thereat.

Additional:
1. Copy of COR BIR FORM 2303 (for doctors w/ private practice)
2. Certification of level of exposure for Hazard Pay