Republic of the Philippines Republic of the Philippines

Department of Education
Region IV-A
Department of Education
Region IV-A

SCHOOLS DIVISION OF QUEZON PROVINCE SCHOOLS DIVISION OF QUEZON PROVINCE

PERMANENT (TRANSFER WITHIN THE PERMANENT (TRANSFER WITHIN THE

DIVISION) for Non-Teaching Personnel DIVISION) for Non-Teaching Personnel
(Rendered at least three (3) years in present (Rendered at least three (3) years in present
station as permanent) station as permanent)
Name: _________________________________ Name: _________________________________
District/School____________________________ District/School____________________________

Recommendation from the School Head/ Recommendation from the School Head/
Principal (indicate the school assignment, Principal (indicate the school assignment,
incumbent and item no.) (1 original) incumbent and item no.) (1 original)
Oath of Office (CS Form No. 32) (2 original) w/ documentary stamp Oath of Office (CS Form No. 32) (2 original) w/ documentary stamp

Certification of Performance Rating (2 latest consecutive Certification of Performance Rating (2 latest consecutive
performance) (2 original) performance) (2 original)

Position Description Form (CS Form No. 1) Position Description Form (CS Form No. 1)
(2 original) (2 original)
District/Division Ranking of Transferees District/Division Ranking of Transferees
(1 photocopy) (1 photocopy)
Series of Indorsements (1 original each) Series of Indorsements (1 original each)
District Clearance (3 original) District Clearance (3 original)
Division Clearance (3 original) Division Clearance (3 original)
Clearance Form (CS Form No. 7 s. 2017) (4 original) Clearance Form (CS Form No. 7 s. 2017) (4 original)

Personal Data Sheet (CS Form No. 212 Revised Personal Data Sheet (CS Form No. 212 Revised
2017) (2 original) 2017) (2 original)
Work Experience Sheet (2 original) Work Experience Sheet (2 original)
Authenticated Transcript of Records Authenticated Transcript of Records
(1 original,1 photocopy) (1 original,1 photocopy)
Authenticated Certificate of Eligibility Authenticated Certificate of Eligibility
(1 original, 1 photocopy) (1 original, 1 photocopy)
PSA/NSO Birth Certificate PSA/NSO Birth Certificate
(1 original, 1 photocopy) (1 original, 1 photocopy)
PSA/NSO Marriage Contract (if married) PSA/NSO Marriage Contract (if married)
(1 original, 1 photocopy) (1 original, 1 photocopy)
Request for ARA Form (1 original) Request for ARA Form (1 original)
Neuro-Psychiatric Examination (1 original) Neuro-Psychiatric Examination (1 original)

DEPEDQUEZON-SDO-PER-04-055-004 DEPEDQUEZON-SDO-PER-04-055-004
Email address: quezon@deped.gov.ph Email address: quezon@deped.gov.ph
Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM) Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM)
Cell No: 09175824629
This document is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE and the contents are treated confidential. prohibited
Cell No: 09175824629
This document is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE and the contents are treated confidential. prohibited
unless otherwise permitted by the Schools Division Superintendent. unless otherwise permitted by the Schools Division Superintendent.