Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OF LAS PIÑAS CITY
Annex A
CHECKLIST OF REQUIREMETNTS
Name of Applicant: ____
Position Applied: ___TEACHER I____________
Course: _______BEED____________________
Contact Number: ________
Religion: _ROMAN CATHOLIC______________
Ethnicity: __N/A____________________
Person with Disability: Yes ( ) No(/)
Solo Parent: Yes ( ) No(/)
Applicant
(Please check HRMO
Basic Documents Requirements completeness)
Check if Remarks
complied
1 Checklist of requirements with omnibus
certification/waiver pursuant to Data Privacy Act
(Enclosure 2)
2 Letter of intent addressed to the Head of Office
3 Duly accomplished Personal Data Sheet (CSC form 12,
revised 2017)
4 Photocopy of valid and updated PRC License/ID
5 Photocopy of Transcript of Scholastic/Academic
Records and Diploma
6 Photocopy of Employment Certificate/s, and Service
Records
7 Photocopy of certificate/s trainings attended (1 day or
more), if any P
8 Photocopy of Certification of Proficiency/Recognition
from recognized and respectable relevant
association/organization/guild, if any
9 NBI Clearance or Police Clearance
OMNIBUS CERTIFICATION AND WAIVER
I hereby certify that all information above are true and correct and the documents submitted are authentic.
I also allow the Department of Education to use my personal information for purposes of activities related to
recruitment, selection and hiring.
______________
Name and Signature of Applicant
Attested:
HRMO