Republika ng Pilipinas

Kagawaran ng Edukasyon
Rehiyon V
TANGGAPAN NG MGA PAARALANG PANSANGAY NG CAMARINES SUR

DOCUMENTARY REQUIREMENTS FOR APPOINTMENT OF RECLASSIFICATION

(TEACHING POSITION)
NAME: _______________________________________ Proposed Position: __________ SCHOOL ASSIGNMENT: ___________________________
READ WISELY AND COMPLY WITH THE DIRECTIONS PROPERLY:
 Please adhere to the precise arrangement of the documents on this checklist. Failure to comply may result in a delay of
processing your documents.
 All photocopied documents must be Authenticated by the SCHOOL / UNIVERSITY/ OFFICE issuing the document.
 All documents for SET A, SET B, must be placed completely intact in ONE (1) LONG-SIZED BROWN TAGBOARD FOLDER.
 Carefully punch a hole in every document and paper fasten all documents in the said tagboard folder. TOP BOUND
 The Civil Service Commission (CSC) Forms are downloadable at www.depedcamsur.com Then, print back-to-back copies of the
following: Form 212, Form 1.
SET A (CSC FILE) NO. OF
FORMS/DOCUMENTS 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 hand-written, please use black
ink pen) included your SUBSTITUTE work experience. Warning: Any misrepresentation made in the Personal Data Sheet and the 1
Work Experience Sheet shall cause the filing of administrative / criminal case/s against the person concerned. PRINT IN LONG BOND PAPER
2. Work Experience Sheet (Download the PDF file, Encoded only) USED SHORT BOND PAPER 1
3. Certificate of Good Standing (Original or Authenticated by PRC) 1
4. PRC License I.D. (Authenticated by PRC) 1
5. CS Form No. 1 (Position Description Form Revised 2017) Handwritten. USED LONG BOND PAPER 3
6. CS Form No. 4 (Certificate of Assumption to Duty Revised 2018) 1stparagraph (Write your FN, MN, LN, Position Title, Name of
School Assignment) Hand Written,2nd paragraph (Write your FN, MN, LN and your Position Title), 3 rdparagraph -leave it blank. USED SHORT BOND
PAPER
3
7. CS Form No. 32 (Oath of Office) Original copy with Documentary Stamp (Write your FN, MN, LN, Complete Residential
Address and Position Title - Hand written). USED LONG BOND PAPER 3
8. Approved EQUIVALENT RECORD FORM (ERF) (Photocopy and Authenticated by the Records Officer) Only for
Teacher-II, Teacher-III, Head Teacher-II and Head Teacher-III 1
9. Approved Notice of Organization, Staffing, and Compensation Action (NOSCA) (Photocopy and
Authenticated by the Records Officer) 1
10. JUSTIFICATION (Applicable only if the proposed position is 3 salary grades higher than the previous position)
kindly proceed to Human Resource Management Office at the Old Building for the issuance of the Templates.
1
11. Marriage Contract / Certificate issued by the Philippine Statistics Office (PSA) Original / Authenticated
1
12. Certificate of Live Birth issued by the PSA Original or Authenticated
1

SET B (RECORDS FILES – DIVISION OFFICE) NO. OF

FORMS/DOCUMENTS (ORIGINAL OR AUNTHENTICATED) 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 hand-written, please use black
ink pen) included your SUBSTITUTE work experience. 1
Warning: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative / criminal
case/s against the person concerned.
2. Work Experience Sheet (Download the PDF file, Encoded only) 1
3. Certificate of Good Standing (Original / Authenticated by PRC) 1
4. PRC License I.D. (Authenticated by PRC) 1
5. Approved EQUIVALENT RECORD FORM (ERF) (Photocopy and Authenticated by the Records Officer) Only for 1
Teacher-II, Teacher-III, Head Teacher-II and Head Teacher-III
6. Approved Notice of Organization, Staffing, and Compensation Action (NOSCA) (Photocopy and
Authenticated by the Records Officer) 1
7. JUSTIFICATION (Applicable only if the proposed position is 3 salary grades higher than the previous position)
Kindly proceed to Human Resource Management Office at the Old Building for the issuance of the Templates 1
8. Transcript of Records (Collegiate and MA Authenticated by the School / University) 1
9. Marriage Contract / Certificate issued by the Philippine Statistics Office (PSA) Original / Authenticated
1
10. Certificate of Live Birth issued by the PSA Original or Authenticated 1
11. National Bureau of Investigation (NBI) Original or Authenticated 1
12. CS Form 211 (Revised 2018) - Original Medical Certificate signed by the Government Physician,
MHU, RHU, BMC, etc. Please attach photocopy of the following results;
a. Blood Test d. Drug Test (Photocopy) 1
b. Urinalysis e. Neuro-Psychiatric Examination (Original copy)
c. Chest X-Ray
VALIDATED AND PROCESSED:

MARCIAL R. PILAR / EDEN B. MACANDOG / JOY ANN DE LA CRUZ

Validators
REVIEWED:

MARIA DIVINA H. CALLEJA

Administrative Officer IV

Adres: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telepono Bilang: (telefax) 8713340