Republic of the Philippines Department of Education REGION IIT SCHOOLS DIVISION OFFICE OF NUEVA ECIJA Acknowledgment Receipt for Se: High School Teacher Applicant Documents This is to acknowledge the Application Documents of Mr/Ms. of applying for a teaching position in Home Address) Municipality of, ‘(Name of School Appying For) Congressional District Track: with unique application number: Received and reviewed this 18th day of February, 2020 with the following contents: PERTINENT PAPERS Letter of Intent with the following information: Application Number; Statement of purpose/expression of interest; subject group he/she intends to teach; prefered schools (i any) CSC Form 212 (Revised 2017) Personal Data Sheet in two copies with the latest 2x2 ID picture Gi Certified photocopy of certificates or relevant specialized traininas. if any i Gettitied copy of the Voter's 1D and/or any proof of residency as deemed acceptable by the School Screening Committee Gi NBI Clearance 1 Omnious Certification of authenticity and veracity of all documents submitted, signed by the applicant, notarized Additional Requirements: i Certified photocopy of Diploma of Bachelor's Degree Bi Coatitied copy of Trascript of Records with at least 15 units of speciaizaton in retevant/specialized subject Gi Ceatttied photocopy of PRC professional License |D/Cettiicate of registrationficense 1D Certified photocopy of ratings obtained in the Licensure Examination for Teachers (LET)/Professional Board Examination for Teachers (PBET) and other information recorded in the PRC Office For Part-Time Positions D Written approval from his/her head of unit if he/she is currently employed by the national goverment or the LGU Others: Note: The applicant assumes full responsibility and accountability on the validity and authentiocty of the documents ‘submitted, as evodenced by the Omnibus certification of authenticity (Item 5.2.i above). Any violation will ‘automatically diqualify the applicant from the selection process. CONFORME: Checked and Reviewed by the Schoo! Screening Committee: ‘Sgnature Over ined Nae of Aplcant Sonate Over Pint Namo of Menber ‘Sete Over Pinted Name of Menber ‘Sgpetue Over Pinod Ware of Menbor ‘Sete Over Pned Hare of Group He: ‘Sgatue Over Pined ame of Recent SSGorPTA._Sgnatre Over Pinte Namo of Ghakman ‘Address: Brey. Rizal, Santa Rosa, Nueva Ecija 3101 Tel. No.: (044) 940-3121 Email Address: nueva.ecija@deped.goviph Facebook: https://wwwfacebook com/groups/DepEDNuevakdjalssuances