Republic of the Philippines

Department of Education
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

DOCUMENTARY REQUIREMENTS FOR APPOINTMENT TO TEACHER I

(FOR NEWLY HIRED & RE-EMPLOYMENT STATUS)

NAME : ALBERT C. MORALES_________________________________________

STATUS : PERMANENT SG: 11 DISTRICT ASSIGNMENT: ___________________

SET A (CSC FILE) FORMS/DOCUMENTS NO. OF

COPIES
1 CS Form 212 (Revised 2017) (Personal Data Sheet) Original copy (duly notarized) with attached
latest passport size picture with name tag and signature, white background (can be encoded or 3
hand written, please use black pen)
2 Certificate of Good Standing (original or authenticated by PRC) 2
3 PRC License (authenticated by PRC) 2
4 CS Form No. 1 (Position Description Form) 2
5 CS Form No. 32 (Oath of Office) Original copy with Documentary Stamp (write your First Name, 2
Complete Residential Address and Position Title-Hand Written)
6 CS Form No. 4 (Certificate of Assumption to Duty) 1st paragraph (Write your FN, MN, LN, 2
Position Title, Name of School Assignment) Hand written 2nd paragraph (Write your FN, MN, LN,
Position Title), 3rd paragraph- leave it blank
7 Transcript of Records (original or authenticated by the School/ University) 2
8 Marriage Contract/ Certificate issued by the PSA (for married employees)-Original Copy 2
9 Certificate of Live Birth issued by the PSA-Original copy 2
10 Statement of Assets, Liabilities, and Net Worth (duly notarized) Original copy 2

SET B (201 FILE-DIVISION OFFICE) FORMS/DOCUMENTS NO. OF

COPIES
1 CS Form 212 (Revised 2017) (Personal Data Sheet) Original copy 1
2 Certificate of Good Standing (photocopy) 1
3 PRC License (authenticated by PRC/photocopy) 1
4 CS Form No. 1 (Position Description Form) 1
5 CS Form No. 32 (Oath of Office) 1
6 CS Form No. 4 (Certificate of Assumption to Duty) 1
7 Marriage Contract/ Certificate issued by the PSA (for married employees) photocopy 1
8 Certificate of Live Birth issued by the PSA- photocopy 1
9 CS FORM 211 (Revised 2017)- Medical Certificate, please attach the photocopy of the following
results:
a. Blood Test d. Drug Test 1
b. Urinalysis e. Psychological Test
c. Chest X-Ray f. Neuro-Psychiatric Examination (original)
10 NBI Clearance 1
11 Statement of Assets, Liabilities, and Net Worth (duly notarized) 1
12 Approved Clearance From former Office/ School (Government or Private) 1
NOTE: • ALL PHOTOCOPIED DOCUMENTS SHOULD BE AUTHENTICATED BY THE SCHOOL/ UNIVERSITY/OFFICE ISSUING THE
DOCUMENTS.
• ALL DOCUMENTS FOR SET A AND SET B MUST BE PLACED INTACT IN ONE LONG SIZED BROWN TAGBOARD FOLDER

VALIDATED AND PROCESSED:

GILBERT E. BELLECA/JEZALENE JOY D. ALBEZA/ EDEN B. MACANDOG

Validators

REVIEWED:

MARIA DIVINA H. CALLEJA

Administrative Officer IV

DATE OF ORIENTATION and SIGNATURE: __________________________