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  • CHECKLIST OF REQUIREMENTS Annex C

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    Laarni Ramirez
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    DEP ED CHECKILIST OF REQUIREMENTS

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    DEP ED CHECKILIST OF REQUIREMENTS

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views1 page

    CHECKLIST OF REQUIREMENTS Annex C

    Uploaded by

    Laarni Ramirez
    DEP ED CHECKILIST OF REQUIREMENTS

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    CHECKLIST OF REQUIREMENTS Annex C

    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
    Submission Office/Sub-committee)
    Basic Documentary Requirement (To be filled-out by Status of
    the applicant; Check Submission
    if submitted) (Check if Remarks
    complied)
    a. Letter of intent addressed to the Head
    Office
    b. Duly Accomplished Personal Data Sheet
    (PDS) (CSC Form 212, Revised 2017) and
    Work Experience Sheet, if applicable
    c. Certified copy of Licensure Examination
    for Teachers (LET) rating
    d. Certified copy of Transcript of Records
    (TOR)
    e. Certified copy of Certificate of
    Employment
    f. Certified copies of Certificate of
    Specialized Training
    g. Proof of Residency/ Barangay Clearance
    h. NBI Clearance
    i. Omnibus Sworn Statement and
    Certification
    Attested:

    _______________________________

    Human Resource Management Officer

    OMNIBUS SWORN STATEMENT

    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 CONTENT

    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 the 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 __________.

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