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Appointment Transmittal Form 2018

This document is an appointment transmittal and action form used by the Department of Education-Tangub City Division to submit appointment documents to the Civil Service Commission field office for approval. It includes information about a substitute teacher appointment for Madelyn Robillos from October 16, 2019 to November 29, 2019. The form lists the common requirements for appointment that must be checked off and certified as complete or lacking.

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Kwin Konic
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8 views2 pages

Appointment Transmittal Form 2018

This document is an appointment transmittal and action form used by the Department of Education-Tangub City Division to submit appointment documents to the Civil Service Commission field office for approval. It includes information about a substitute teacher appointment for Madelyn Robillos from October 16, 2019 to November 29, 2019. The form lists the common requirements for appointment that must be checked off and certified as complete or lacking.

Uploaded by

Kwin Konic
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

CS Form No.

1
Revised 2018 For Use of Regulated Agencies Only
APPOINTMENT TRANSMITTAL AND ACTION FORM

AGENCY
AGENCY:
: DEPARTMENT OF EDUCATION-TANGUB CITY DIVISION CSC FO In-Charge:
SALARY/
INSTRUCTIONS: JOB/ For CSC RO/FO's Use:
(1) Fill-out the data needed in the form completely and accurately. Date Received:
(2) Do not abbreviate entries in the form. A - Approved
(3) Accomplish the Checklist of Common Requirements and sign the certification.
(4) Submit the duly accomplished form in electronic and printed copy (2 copies) to the CSC Field Office-In-Charge
together with the original copies of appointments and supportingPOSITION TITLE
documents.

NAME OF THE APPOINTEE/S PUBLICATION CSC ACTION


or
PERIOD OF
EMPLOYMENT MODE
DATE
DATE OF (CSC Bulletin
indicate Agency
EMPLOYMENT (for Temporary, NATURE OF ISSUANCE of Vacant Date of Date of
Name period of Receiving
STATUS Casual/ Contractual APPOINTMENT (mm/dd/yyyy publication Positions, Action Release
Last Name First Name Extension Middle Name Officer
Appointments) ) Agency (mm/dd/yyyy (mm/dd/yyy
(Jr. / III) (mm/dd/yyyy
(mm/dd/yyyy to Website, ) y)
to
mm/dd/yyyy) Newspaper,
mm/dd/yyyy)
etc)
No.
(indicate
1 ROBILLOS MADELYN N/A RUILO parenthetical title, if
TEACHER I (SEC) 11/1 SUBSTITUTE 10/16/19-11/29/19 REEMPLOYMENT 10/16/2019 N/A N/A
applicable)
2
3 D-
4 Disapproved or
4
N - Noted
5 PAY
6 GRADE
7
8
9
10
11
12
13
14
15

CERTIFICATION

This is to certify that the information contained in this form are true, correct and complete.

DELMA R. DENAPO
Administrative Officer IV

Date: _______________________________

REMARKS/COMMENTS/RECOMMENDATIONS: (e.g. Reasons for Disapproval of Appointment)

Page 1 of 2
CHECKLIST OF COMMON REQUIREMENTS HRMO CSC FO
Instructions: Put a check if the requirements are complete. If incomplete, use the space provided to indicate the name of appointee and the lacking requirement/s.

APPOINTMENT FORMS (CS Form No. 33-A, Revised 2018) - Three (3) original
1 copies of appointment form (employee copy, CSC copy and agency copy)

PLANTILLA OF CASUAL APPOINTMENT (CSC Form No. 34-A, C, E or F) - Three


2 (3) original copies (employee copy, CSC copy and agency copy)

3 PERSONAL DATA SHEET (CS Form No. 212, Revised 2017)

ORIGINAL COPY OF AUTHENTICATED CERTIFICATE OF ELIGIBILITY/ RATING/


4 LICENSE - Except if the eligibility has been previously authenticated in 2004 or
onward and recorded by the CSC

5 POSITION DESCRIPTION FORM (DBM-CSC Form No. 1, Revised 2017)

6 OATH OF OFFICE (CS Form No. 32, Revised 2017)

7 CERTIFICATE OF ASSUMPTION TO DUTY (CS Form No. 4)

This is to certify that I have checked the veracity, This is to certify that I have checked all the
authenticity and completeness of all the requirements in requirements in support of the appointments attached
support of the appointments attached herein. herein and found these to be [ ] complete / [ ] lacking.

DELMA R. DENAPO ____________________________________


Administrative Officer IV CSC FO Receiving Officer
Page 2 of 2

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