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Checklist and Templates For DO 048, S. 2017 Reiteration For Attachment

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Harvey Guiawan Velaro
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24 views

Checklist and Templates For DO 048, S. 2017 Reiteration For Attachment

Checklist Sample

Uploaded by

Harvey Guiawan Velaro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CHECKLIST FOR THE PROCESSING OF CERTIFICATION, AUTHENTICATION AND

VERIFICATION (CAV) FOR SUBMISSION TO DEPED-REGIONAL OFFICE


SECONDARY (GRADUATES AND UNDERGRADUATES)

1. Two (2) certified photocopies with dry seal of the following (duly signed by
the School Head or his/her duly authorized representative):

✔ Students Permanent Record (Form 137 – A for old curriculum graduates)

✔ Students Permanent Record (SF-10 JHS and SF10- SHS for K to 12 graduates)

✔ Diploma (for GRADUATES only)

✔ Certification of Graduation (for GRADUATES only)

✔ Certification of year/Grade level Completion (for UNDERGRADUATES only)

✔ Special order of Graduation (for PRIVATE HIGH SCHOOLS ONLY)

✔ Certification of English as medium of instruction (issued upon request)


2. Two (2) copies of recent ID picture (passport size)
3. School Transmittal to the Regional Office

ELEMENTARY (GRADUATES AND UNDERGRADUATES)

1. Two (2) certified photocopies with dry seal of the following (duly signed by
the School Head or his/her duly authorized representative):

✔ Students Permanent Record (Form 137 – E)

✔ Diploma (for GRADUATES ONLY)

✔ Certification of Graduation (for GRADUATES ONLY)

✔ Certification of Grade Level Completion (for UNDERGRADUATES ONLY)


2. Two (2) copies of recent ID picture (passport size)
3. Certification of English as medium of instruction (issued upon request)
4. School Transmittal to the Regional Office

ALS, A&E, AND PEPT PASSERS:

1. Two (2) certified photocopies with dry seal of the following (duly signed by
the ALS-in Charge or AO V of the Division where exam was taken):
✔ Diploma

✔ PEPT or A&E result (certificate of ratings).

✔ Certification from Central Office (BALS and NETRC)


2. Two (2) copies of recent ID picture (passport size).
3. Schools Division Office Transmittal to the Regional Office
ADDITIONAL REQUIREMENTS FOR REPRESENTATIVES (If the requesting party
is not the record owner):

1. Authorization Letter (1 original copy)


2. Valid Special Power of Attorney (SPA) for the authorized representative (1
original copy)
* For applicants residing outside the country - Valid Special Power of Attorney
(SPA) for the authorized representative issued by the Philippine Embassy (1
original Copy)
3. Valid ID of the representative

Republic of the Philippines


Department of Education
Cordillera Administrative Region
Division____________________
School Name___________

CERTIFICATION OF ENROLMENT / COMPLETION / GRADUATION

TO WHOM IT MAY CONCERN:

This is to certify that, based on available records in this school, the following

information pertaining to Name of Learner with Learner Reference Number


______appear:

( ) enrolled in Grade _____ during the School Year _____


( ) completed Grade _____ during the School Year _____
( ) satisfactorily graduated from Elementary / Secondary Course for the School
Year _____ as prescribed by the Department of Education*.

This certification is issued on _____ upon the request of Name of Learner in


connection with his / her application for Certification, Authentication and Verification.

Signature Over Printed Name


(School Head/Principal)
*If graduated from secondary course in private school, indicate Special Order
Number and date.

Republic of the Philippines


Department of Education
Cordillera Administrative Region
Division______________________
School Name_______________

1st Indorsement
Date

Respectfully forwarded to Name of the Regional Director, DepEd-CAR Regional


Office, Wangal, La Trinidad, Benguet, the herein request of Name of Learner
for Certification, Authentication and Verification (CAV) of his / her Academic School
Records.
For ready reference and perusal, attached are the following documents/records
marked (x) below properly enclosed in sealed envelope:

( ) Certification of Completion/Graduation
( ) Certification of English as Medium of Instruction
( ) Form -137
( ) Diploma

For the preferential appropriate action of the Regional Director.

Signature Over Printed Name


(School Head/Principal)
Attached: as stated.

Republic of the Philippines


Department of Education
Cordillera Administrative Region
Division__________________

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that, after due verification, the following information marked

( ) below pertaining to Name of Learner, appear in the records of this Office:

( ) he / she passed the Alternative Learning Systems Accreditation and


Equivalency (ALS A & E) Test for Elementary / Secondary Level administered on :
_______: and he / she has the competencies comparable to that of a Elementary /
Secondary graduate in the formal school system and as such, is eligible to enter
secondary / tertiary education.

( ) he / she took the Year Philippine Educational Placement Test (PEPT) given
at _________ with Examinee Number ______ which indicate that he / she has met the
basic academic requirements of Year Level in the Elementary / Secondary Level:
and he / she, therefore, is eligible for admission to Year Level subject to the
satisfaction of other school admission requirements.

Issued this ____ day of ____, 20__ for whatever legal purpose it may serve.

Signature Over Printed Name


(Schools Division Superintendent)
Republic of the Philippines
Department of Education
Cordillera Administrative Region
Division__________

1st Indorsement
Date

Respectfully forwarded to the Regional Director, DepEd Regional Office, Wangal,


La Trinidad, Benguet, the herein request of Name of Learner for Certification,
Authentication and Verification (CAV) of Academic School Records.
For ready reference and perusal, attached are the following documents/records
marked ('./) below properly enclosed in sealed envelope:

( ) Certification of Results of Rating


( ) ALS A&E
( ) PEPT

( ) Diploma

( ) Others: _______________________________________________________________________

For the preferential appropriate action of the Regional Director.

Signature Over Printed Name


(Schools Division Superintendent)
Attached: as stated.

Republic of the Philippines


Department of Education
Cordillera Administrative Region
Division__________
School Name ___

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that Name of Learner with Learner Reference Number ______
has satisfactorily completed / graduated from the Elementary / Secondary Course as
prescribed by the Department of Education, with the following particulars:

1. Name of School: ________________________________________________________


2. School address: ________________________________________________________
3. Grade level completed: ____________ ; School Year completed:
____________
4. Graduated on: _____________________ : School Year graduated:
____________
5. Special Order Number*: ____________ : Date:
_____________________________

This is to further certify that English Language was used as the medium of instruction
in all subjects taught in the above-mentioned school, except for subjects that require
the use of Filipino language only.

This certification is issued on _______________ upon the request of Name of


Learner in connection with his / her application for Certification, Authentication and
Verification.

Signature Over Printed Name


(School Head/Principal)

*If graduated from secondary course in private school, indicate Special Order
Number and date.

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