Checklist - GUIDE FOR TEACHER 1 REQUIREMENTS

Education (Eastern Samar State University)

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 Republic of the Philippines
Department of Education
Region VIII
DIVISION OF EASTERN SAMAR
Borongan City

CHECKLIST OF REQUIREMENTS FOR APPOINTMENT PREPARATION

Name _VANESSA M. BERTOS Vice

School ORAS WEST CENTRAL ELEMENTARY SCHOOL Nature of Vacancy
District/Municipality ORAS WEST DISTRICT Effective date of Vacancy
Position Title:TEACHER 1 Date of Publication
Nature of Appointment: Item No.

Checked by personnel in-charge as to proper

DOCUMENTS TO BE SUBMITTED accomplishment of PDS and PDF and as to
completeness of documents (place tick mark and
Arrange documents in accordance with the sequence indicated below affix signature if in order)

A. FOR REEMPLOYMENT/ORIGINAL APPOINTMENT Yes No Remarks

1. Appointment Preparation Checklist - 1 copy
2. Appointment Proposal – 3 copies
3. Personal Data Sheet (CS Form No. 212, Revised 2017) in 3 sets w/
Passport Size I.D. Picture WITH NAME TAG AND SIGNATURE (1.77"x1.37")
3. Position Description Form (BC-CSC Form No. 1 Revised 2017) - 3 copies
4. Oath of Office Revised 2018 (w/ documentary stamp per copy) - 3 copies
5. Updated PRC License w/ PRC (Good Standing and/or Lupon) (duly
authenticated) - 3 copies
6. PBET/LET Report of Rating - (duly authenticated) - 3 copies
7. Transcript of Records (duly authenticated) - 3 copies
8. Ranklist/Approved ERF (District or Div. Ranking) duly authenticated - 3 copies
9. Medical Certificate (CS Form NO. 211 Revised 2017 - 3 copies w/ doc. Stamp attached
per copy) w/ results in the Pre-employment Mental-Physical-Medical Examinations consisting of
original copies of BLOOD TEST, URINALYSIS, CHEST X- RAY, DRUG TEST,
PSYCHOLOGICAL TEST and NEURO PSYCHIATRIC (if
applicable). - 3 copies
10. NBI Clearance (duly authenticated) - in 3 copies w/ original copy
11. Statement of Assets, Liabilities and Networth (notarized) - 3 copies
12. Marriage Contract (female applicant) if married
13. Birth Certificate 3 copies duly certified by NSO/PSA
B. FOR APPOINTMENT BY TRANSFER
1. A - No. 1-7
2. Updated Service Record - 3 copies
3. Approved Performance Rating for the last 3 rating period, 3 copies duly authenticated
4. Approved Swapping Agreement, if applicable, 1 copy duly authenticated
5. Marriage Contract (if name has been changed from the last appointment)
6. NOSCA for Realignment ( 3 copies) – if applicable
Additional requirements for Transfer from Region/Division to another
6. Approved S.O for Transfer/Separation - duly authenticated in 3 copies
7. Certification of the Last Day of Service
8. Certification of the Last Salary Received
9. Certification of Unused Service Credits
10. Division & School Clearance from financial obligations and property
accountability from former office
11. Clearance/Certification that has no pending administrative/criminal case.
C. FOR PROMOTION, RECLASSIFICATION OR UPGRADING
1. A - No. 1-7
2. Latest Approved Appointment - 3 copies
3. Marriage Contract (if name has been changed from the last appointment)
4. Approved Performance rating for the last 3 rating periods - 3 copies
5. Updated Service Record - 3 copies
Additional requirements for Reclassification:
6. PAL w/ NOSCA for Reclassification - 3 copies

Reviewed by: ALEX M. ORAYA

District/School Personnel In-Charge

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