Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF PAMPANGA

Name of Employee:
(Last Name, First Name, Middle SAMPANG, KIM NICOLE CASTRO
Name)
Office: Date of Birth:
PANDAGUIRIG ES 06/14/1996
(mm/dd/yyyy)

1. APPOINTMENTS (CS Form 33, duly attested/approved)

POSITION NATURE OF STATUS EFFECTIVITY

APPOINTMENT
TEACHER I PERMANENT REGULAR 07/01/2019

2.Assumption to Duty (required)

3.Oath of Office (required)
4.Update Personal Data Sheet (PDS revised 2017) (required)
( ProperlyDescription
5.Position filled up and with( recent
Form picture )
PDF ) (required)
6.Statement of Assets and Liabilities (SALN) (required)
7.Notices of Salary Adjustments ( NOSA ) (required)
8.Notices of Step Increments ( NOSI ) (required)
9.Performance Ratings ( Last three years ) (required)
10.Service Record (required)
11.Trainings ( 3 years back ) (required)
12.School Diploma and Transcript of Records (required)
13.NBI Clearance
14.Certificate of Leave Balances ( for transferees)
15.Clearance from Property and Money Accountability (for transferees)

16.Others (Please Specify)

PRC/LET/PBET /OSSP/RA1080 (if applicable)
Marriage Certificate
GSIS Policy Contract (Photocopy only)
CS Form 211 (Medical Certificate)
Oath of Office
Awards / Commendations
Approved ERF’s

Name: PANDAGUIRIG ELEMENTARY SCHOOL

School Address: Pandaguirig, Floridablanca, Pampanga
Email Address:105992@deped.gov.ph