Sample Transmittal

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MARIA TERESA O.

DEMESA-RAZAL
OIC-Chief of Office
Office of Administrative Services, OCA

By:

OSCAR BENEDICT T. MONTOYA, JR.


SC Supervising Judicial Staff Officer
RTC Personnel Division, OAS, OCA

Greetings!

Respectfully transmitted herewith are the following requirements:

1. Favorable recommendation of the Presiding Judge


2. Indorsement of the Executive Judge
3. Certification under oath by the Presiding Judge that the list submitted contains the
names/ s of all the applicant/ s who applied for the position pursuant to OCA Circular No.
74-2010
4. Certification under oath by the Clerk of Court that the position to be filled has been
posted in three (3) conspicuous places
5. SPB LC Forms required under OCA Circular No. 128-2016
a) Recommendation Form
b) Interview Form
c) Examination Results Form
6. Four (4) copies of properly, completely and recently accomplished Personal Data Sheet
including additional Work Experience Sheet;
7. Two (2) Authenticated copies of the Civil Service Eligibility
8. Authenticated copy of the Transcript of School Records
9. Sworn Affidavit of no incumbent relative(s) within the third degree of consanguinity or
affinity in subject branch/office
10. Copy of proof of completion of relevant Training / Seminar
11. Original Philippine Statistics Authority (PSA) copy of Birth Certificate
12. Original copy of latest NBI Clearance
13. Certification of employment from previous offices
14. Latest Medical Certificate
a) Hematology
b) Microscopy
c) Fecalysis
d) X-Ray
e) Drug Test Report
f) Neuro-Psychological Report
15. Affidavit to accept appointment under temporary appointment if the Office of the Court
Administrator found that I do not meet the requirements for the position.

All the documents I submitted are complete and up to date. I am solely responsible for any
incomplete or out-of-date documents or data. I used the latest version of the Personal Data
Sheet and all the fields therein were accomplished.

Thank you very much!

Very truly yours,

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