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Annex C-Checklist of Requirements of Applicants

This document is a checklist of requirements for applicants seeking positions within the Department of Education in the Philippines. It includes sections for personal information, basic documentary requirements, and an Omnibus Sworn Statement certifying the authenticity of the submitted documents. The document also emphasizes compliance with data privacy regulations and the legal validity of electronic submissions.

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28 views

Annex C-Checklist of Requirements of Applicants

This document is a checklist of requirements for applicants seeking positions within the Department of Education in the Philippines. It includes sections for personal information, basic documentary requirements, and an Omnibus Sworn Statement certifying the authenticity of the submitted documents. The document also emphasizes compliance with data privacy regulations and the legal validity of electronic submissions.

Uploaded by

auhsoj raluiga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE
Annex C

CHECKLIST OF REQUIREMENTS

Name of Applicant: ___________________________________________ Application Code: ____________________


Position Applied For: _______________________________________________________
Office of the Position Applied For: __________________________________________
Contact Number: _____________________________
Religion: ______________________________
Ethnicity: _____________________________
Person with Disability: Yes ( ) No ( )
Solo Parent: Yes ( ) No ( )
Verification
Status of
(To be filled-out by the HRMO/HR Office/sub-
Submission
committee}
(To be filled-out
Basic Documentary Requirement Status of
by the applicant;
Submission
Check if Remarks
(Check if
submitted)
complied)
a. Checklist of Requirements and Omnibus Sworn Statement
on the Certification on the Authenticity and Veracity (CAV)
of the documents submitted and Data Privacy Consent Form
Letter of intent addressed to RAYMUNDO M. CANTONJOS,
b.
CESO VI – Schools Division Superintendent

c. Duly accomplished Personal Data Sheet (CSC Form No. 212,


Revised 2017) with Work Experience Sheet, if applicable

d. Photocopy of scholastic/academic record such as but not


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

f. Photocopy of Certificate of Employment,


Contract of Service,or duly signed
Service Record, whichever is/are
applicable

g. Photocopy of valid and updated PRC License/ID, if


applicable

h. Photocopy of the actual Performance Rating in the last


rating period(s) covering one (1) year performance in the
current/latest position prior to the deadline of submission,
if applicable

Attested:

NAVIE F. TORRES
Human Resource Management Officer

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”, (e)lectronic documents shall have legal effect, validity or enforceability as
any other document or legal writing and a) (w)here 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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