Republic of the Philippines

Department of Education
Region IV-B MIMAROPA
DIVISION OF PALAWAN
Puerto Princesa City

Checklist of Required Documents

Application Letter
CSC Form 212 (Revised 2017) in two copies with latest 2x2 ID picture
Certified Photocopy of PRC Professional Identification Card (not expired)
Certified Photocopy of ratings obtained in the PBET/LET
Certified Photocopy of Transcript of Records and Diploma
Certified of Specialized Training if any (5 days or more)
Proof of Residency
Omnibus certification of authenticity & veracity of all documents submitted signed by
applicant (daily notarized)
Other Documents

REMARKS: Enumerate the lacking of documents discrepancies

1.
2.
3.

Complete_______________
Note: If any of the required documents is not submitted, the School Screening Committee shall
refuse accepted of the applicant.

SCHOOL SCREENING COMMITTEE

FELOMINA V. ALANIS
Chairman

_______________________ _______________________
Member Member
(Signature Over Printed Name) (Signature Over Printed Name)

________________________
Member
(Signature Over Printed Name)

CHERMAIGNE B. WILLIAMS
APPLICANT
(Signature Over Printed Name)