Checklist

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Republic of the Philippines

Department of Education
Region IX, Zamboanga del Sur
Division of Zamboanga del Sur
Dao, Pagadian City

CHECKLIST OF DOCUMENTS FOR TEACHER APPLICANT

Name of Applicant:
Note: Check the box whenever the document is available. Documents in the application’s folder
should follow the sequence as shown below:

 1. CSC Form 212 ( Revised 20170 in five (5) copies with the latest passport size ID
pictures (3 copies)

 2. Certified copy of Transcript of records

 3. Certificate of General Weighted Average

 4. Special Order (If applicable)

 5. Copies of Service Records, Performance Rating and School Clearance for those with
Teaching Experience. If unavailable , the applicant must submit a justification for
unavailability.

 6. Authenticated Report of Rating (2 copies) obtained in the Licensure Examination


for Teachers (LET) / Professional Board Examination for Teachers (PBET). (Note:
License is optional for Senior High Applicant).

 7. Certificates of specialized training programs attended, if any;

 8. License ID (2 copies) authenticated by PRC.

 9. Certified copy of Voter’s ID and / or any proof of residency as deemed acceptable


by the School Screening Committee.

 10. Police Clearance

 11. Certificate of Marriage (for married woman.)


 12. NBI Clearance

 13. Omnibus certification of authenticity and veracity of all documents submitted,


signed by the applicant.

Check and verified as to the authenticity, veracity and completeness of the data
in the above-mentioned documents.

School/ District Screening Committee

Member Member

Member Member

Chairperson

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