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Checklist

This document is a checklist of requirements for the application of the position Teacher 1 at the Department of Education, detailing necessary documents and personal information needed from the applicant, AL D. OQUIAS. It includes sections for verification of submission status and a sworn statement certifying the authenticity of the information provided. Additionally, it outlines the applicant's consent for data privacy in relation to the recruitment process.

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Jenie Pepito
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4 views

Checklist

This document is a checklist of requirements for the application of the position Teacher 1 at the Department of Education, detailing necessary documents and personal information needed from the applicant, AL D. OQUIAS. It includes sections for verification of submission status and a sworn statement certifying the authenticity of the information provided. Additionally, it outlines the applicant's consent for data privacy in relation to the recruitment process.

Uploaded by

Jenie Pepito
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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Annex C

CHECKLIST OF REQUIREMENTS

Name of Applicant: AL D. OQUIAS Application Code: _____________________________


Position Applied For: Teacher 1
Office of the Position Applied For: Department of Education
Contact Number: 0946-562-6724
Religion:Roman Catholic
Ethnicity: Bisaya
Person with Disability: Yes ( ) No ( / )
Solo Parent: Yes ( ) No ( / )

Status of Verification
Submission (To be filled-out by the HRMO/HR
Basic Documentary Requirement
(To be filled-out StatusOffice/sub-committee)
of
by the applicant; Submission
Check if Remarks
(Check if
submitted) complied)
a. Letter of intent addressed to the Head of Office or highest human resource
officer
b. Duly accomplished Personal Data Sheet (PDS)
(CS Form No. 212, Revised 2017) and Work Experience Sheet, if applicable
c. Scanned copy of valid and updated PRC License/ID, not expired within 2024 if
applicable
d. Photocopy of Certificate of Eligibility/Report of Rating, if applicable
e. Scanned copy of scholastic/academic record such as but not limited to
Transcript of Records (TOR) with CAV and Diploma, including completion of
graduate and post-graduate units/degrees, with CAV, if available
f. Scanned copy of Certificate/s of Training, if applicable
g. Scanned copy of Certificate of Employment, Contract of Service, or duly signed
Service Record, whichever is/are applicable
h. Voter's ID and/or Proof of residency
i. Scanned copy of Latest appointment, if applicable
j. Scanned copy of the Performance Ratings in the last rating period(s) covering
one (1) year performance prior to the deadline of submission, if applicable

k. Checklist of the Requirements and Omnibus Sworn Statement on the


Certification on the Authenticity and Veracity (CAV) of the documents
submitted and Data Privacy Consent Form
l. Other documents as may be required for comparative assessment, such as but
not limited to:
Means of Verification (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 work experience,
if performance rating in Item (i) is not relevant to the position to be filled

Attested:

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.

AL D. OQUIAS
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 the 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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