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Omnibus Checklist of Requirements

This document is a checklist of requirements for applicants applying for a position with the Department of Education in the Schools Division Office of Cotabato. It lists basic documentary requirements including a letter of intent, personal data sheet, valid license or ID if applicable, academic records, training certificates, employment records, performance ratings, clearances, and proofs of residency. Applicants must also submit an omnibus sworn statement certifying the authenticity and veracity of submitted documents and consenting to the processing of their personal information. The checklist is to be filled out by the applicant and verified by the human resources management office.

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727 views

Omnibus Checklist of Requirements

This document is a checklist of requirements for applicants applying for a position with the Department of Education in the Schools Division Office of Cotabato. It lists basic documentary requirements including a letter of intent, personal data sheet, valid license or ID if applicable, academic records, training certificates, employment records, performance ratings, clearances, and proofs of residency. Applicants must also submit an omnibus sworn statement certifying the authenticity and veracity of submitted documents and consenting to the processing of their personal information. The checklist is to be filled out by the applicant and verified by the human resources management office.

Uploaded by

rashelkeithb
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
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Republic of the Philippines

Department of Education
Schools Division Office of Cotabato

CHECKLIST OF REQUIREMENTS
Name of Applicant: ____________________________________________ Application Code: ______________________________
Position Applied For: ___________________________________________
Office of the Position Applied For: ________________________________
Contact Number: ______________________________________________
Religion: _____________________________________________________
Ethnicity: _____________________________________________________
Person with Disabilty: Yes ( ) No ( )
Solo Parent: Yes ( ) No ( )
Status of Submission Verification (To be filled-out by the HRMO/HR
(to be filled-out by the Office/sub-committee)
Basic Documentary Requirement
applicant; Check if
Starus of Submission
submitted) Remarks
(Check if complied)
Letter of intent addressed to the Head of Office or highest human
a.
resource officer.
Duly accomplished Personal Data Sheet (PDS - CSC Form No.
b.
212, Revised 2017) and Work Experience Sheet, if applicable.

c. Photocopy of valid updated PRC License/ID, if applicable

d. Photocopy of Certificate of Eligibility/Report Rating, if applicable

Photocopy of scholastic/academic record such as but not limited


e. to Transcript of Records (TOR) and Diploma, including completion
of graduate and post-graduate units/degrees, if available.

f. Photocopy of Certificate/s of Training, if applicable

Photocopy of Certificate of Employment, Contract of Service, or


g.
duly signed Service Record, whichever is/are applicable

h. Photocopy of Latest Appointment, if applicable


Photocopy of Performance Rating in the last rating period(s)
i. covering one (1) year perfromance prior to the deadline of
submission, if applicable

j. Photocopy of NBI Clearance

Photocopy of Voter's ID and/or proof of residency as deemed


k.
acceptable by the School Screening Committee

Checklist of Requirments and Omnibus Sworn Statement on the


l. Certification on the Authencity and Veracity (CAV) of the
documents submitted and Data Privacy Consent Form

Other documents as may be required for comparative assessment,


m.
such as but not limited to:
Means of Verafication (MOVs) showing Outstanding
Accomplishments, Application of Education, and Application of
Learning and Development reckoned from the date of last issuance
of appointment
Photocopy of Performance Rating obtained from the relevant wiork
experience, if performance rating in Item (i) is not relevant to the
position to be filled.

Attested

__________________________________________
School Head
OMNIBUS SWORN STATEMENT
CERTIFICATION OF AUTHENTICITY AND VERACITY
I hereby certify that all information above are true and correct, and of my personal knowledge and belief, and the documents
submitted herewith are original and/or certified true copies thereof.

DATA PRIVACY CONSENT

I hereby grant the Department of Education the right to collect and process my personal information as stated above, for
purposes relevant to the recruitment, selection, and placement of personnel of the Department and for purposes of compliance
with the laws, rules, and regulations being implemented by the Civil Service Commission.

_____________________________
Name and Signature of Applicant

Subscribed and sworn to before me this _______ day of _____, year ________.

Person Administering Oath

In consonance with Republic Act No. 8792 or the "Electronic Commerce Act of 2000", (electronic documents shall have the legal
effect, validity or enforceability as any other document or legal writing and a) (where the law requires a document to be in writing,
that requirement is met by an electronic document if the said electronic document maintains its integrity and reliability and can
be authenticated so as to be usable for subsequent reference.

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