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    Request For Transfer Form

    Uploaded by

    Gonzales Dizon Mae Alinah
    The document is a request for transfer form from the Department of Education of Region III in the Philippines. It collects personal and service details of the requestee including name, address, current teaching position and school, educational background, and reasons for requesting a transfer. The requestee provides their preferred new school assignment and priority reasons for transfer which include being declared an excess teacher, length of service outside their home area, compliance with localization or magna carta laws, or health reasons. The form is signed by the requestee and noted by their immediate superior.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Request For Transfer Form

    Uploaded by

    Gonzales Dizon Mae Alinah
    38 views2 pages
    The document is a request for transfer form from the Department of Education of Region III in the Philippines. It collects personal and service details of the requestee including name, address, current teaching position and school, educational background, and reasons for requesting a transfer. The requestee provides their preferred new school assignment and priority reasons for transfer which include being declared an excess teacher, length of service outside their home area, compliance with localization or magna carta laws, or health reasons. The form is signed by the requestee and noted by their immediate superior.

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    Original Title

    Request for Transfer Form

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    The document is a request for transfer form from the Department of Education of Region III in the Philippines. It collects personal and service details of the requestee including name, address, current teaching position and school, educational background, and reasons for requesting a transfer. The requestee provides their preferred new school assignment and priority reasons for transfer which include being declared an excess teacher, length of service outside their home area, compliance with localization or magna carta laws, or health reasons. The form is signed by the requestee and noted by their immediate superior.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    38 views2 pages

    Request For Transfer Form

    Uploaded by

    Gonzales Dizon Mae Alinah
    The document is a request for transfer form from the Department of Education of Region III in the Philippines. It collects personal and service details of the requestee including name, address, current teaching position and school, educational background, and reasons for requesting a transfer. The requestee provides their preferred new school assignment and priority reasons for transfer which include being declared an excess teacher, length of service outside their home area, compliance with localization or magna carta laws, or health reasons. The form is signed by the requestee and noted by their immediate superior.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    Republic of the Philippines

    DEPARTMENT OF EDUCATION

    Region III

    ___________________________

    SCHOOLS DIVISION OF NUEVA ECIJA

    Requestee

    Cabanatuan City

    REQUEST FOR TRANSFER FORM


    I. PERSONAL PROFILE

    II. SERVICE RECORD

    Name: _______________________________________

    Position: ___________________________________
    Date of Latest Appointment: ____________________

    Surname

    First Name

    Middle Name

    Residential Address: ____________________________

    Present School Assignment: ___________________

    _____________________________________________

    District: _____________ Date Assigned: _________

    Mobile Number/s: ______________________________

    Travel Time from Residence to Present School: _____________

    Email Address: ________________________________

    Previous School Assignment: ___________________

    Birthdate: ___________

    Age: _______ Sex: _________

    District: _____________ Date Assigned: _________

    Civil Status: _________

    Religion: _________________

    Date of Original Appointment: __________________

    Highest Educational Background: __________________

    No. of Years & Months in DepED: _______________

    III. REQUEST PROFILE


    Preferred School: _______________________________

    District: ___________________

    Other Preferred Schools: (List down according to priority)

    MAIN REASON:

    1. _________________________________

    2. ______________________________________

    This is my 1st Request 2nd Request 3rd Request

    3. ______________________

    Date of Last Request: _________________________

    Type of Request: Swapping Agreement With: ___________________________

    By Chance

    Natural Vacancy vice: _______________________________ due to Promotion Transfer Death Retirement


    IV. BASIS AND REASONS FOR TRANSFERRING
    Condition

    Priority Situations

    1. Excess Teacher

    I am declared by my School Head/SDO as excess teacher.

    Yes

    2. Length of Service

    I have served for 5 years outside my home barangay/municipality.

    Yes

    3. Localization Law

    I am a bonafide resident of the barangay/municipality/resident


    where the school with teacher-need is located.

    Yes

    4. Magna Carta Law

    I am joining my wife/husband in the same school.

    Yes

    5. Child Welfare Code

    I am a nursing mother.

    Yes

    6. Teacher's Welfare
    7. Health Condition

    My life is in danger due to armed conflict, hostilities, etc.

    Yes

    I am presently having poor health condition with medical records.

    Yes

    V. OTHER REASONS
    Condition
    1. Length of Service
    2. Accessibility
    3. Personal Reason

    Other Situations to be Considered


    I have served for 3 years outside my home barangay/municipality.

    Yes

    I can save time, money and effort in traveling.

    Yes

    I have personal and other situations to attend to/confer with.

    Yes

    Other Reasons:
    ________________________________________________________________________________________________
    ________________________________________________________________________________________________
    I certify that the above entries are true and correct:
    ___________________________________
    Signature Over the Printed Name of the Requestee
    Reference: DepED Order No. 22, s. 2013

    Noted:

    ________________________________
    Signature Over the Printed Name of the Immedi

    ________________________
    Requestee

    ________________________
    ________________________
    ________________________

    ate Assigned: ______________

    esent School: _________________

    t: _______________________

    ate Assigned: _____________

    t: ______________________

    pED: ___________________

    Any school in the District

    3. _________________________________

    _________________________

    By Chance

    Carry Item

    Retirement

    Remarks
    No

    _______________

    No

    _______________

    No

    _______________

    No

    _______________

    No

    _______________

    No

    _______________
    _______________

    No

    No
    No
    No

    Remarks
    _______________
    _______________
    _______________

    ____________
    ____________

    ____________________________
    e Printed Name of the Immediate Superior

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