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    Checklist Omnibus Ko

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    JESSA
    This document contains a checklist and sworn statement from Jessa M. Albuero applying for a teaching position. The checklist lists the requirements for the application including documents like a personal data sheet, license information, transcripts, training certificates, and clearances. The sworn statement certifies the authenticity of all documents being submitted and acknowledges responsibility if any documents are found to be invalid.

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

    Checklist Omnibus Ko

    Uploaded by

    JESSA
    52 views3 pages
    This document contains a checklist and sworn statement from Jessa M. Albuero applying for a teaching position. The checklist lists the requirements for the application including documents like a personal data sheet, license information, transcripts, training certificates, and clearances. The sworn statement certifies the authenticity of all documents being submitted and acknowledges responsibility if any documents are found to be invalid.

    Original Title

    Checklist Omnibus Ko (1)

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    This document contains a checklist and sworn statement from Jessa M. Albuero applying for a teaching position. The checklist lists the requirements for the application including documents like a personal data sheet, license information, transcripts, training certificates, and clearances. The sworn statement certifies the authenticity of all documents being submitted and acknowledges responsibility if any documents are found to be invalid.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    52 views3 pages

    Checklist Omnibus Ko

    Uploaded by

    JESSA
    This document contains a checklist and sworn statement from Jessa M. Albuero applying for a teaching position. The checklist lists the requirements for the application including documents like a personal data sheet, license information, transcripts, training certificates, and clearances. The sworn statement certifies the authenticity of all documents being submitted and acknowledges responsibility if any documents are found to be invalid.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Republic of the Philippines

    Department of Education
    Region I
    SCHOOLS DIVISION OFFICE I PANGASINAN
    Lingayen

    CHECKLIST

    NAME: JESSA M. ALBUERO


    COURSE: BACHELOR OF SECONDARY EDUCATION
    ADDRESS: BARANGAY CALVO, MANGATAREM PANGASINAN
    UAN: T15377026
    SUBJECT AREA OF SPECIALIZATION: GENERAL SCIENCE

    REQUIREMENTS:

    ____ Letter of Intent/ Written Application.


    ____ CSC Form 212, Revised 2017 (Personal Data Sheet) in two (2) copies
    with the latest 2x2 ID picture
    ____ Certified photocopy of Professional Regulation Commission (PRC)
    professional ID card/ certificate of registration/ license
    ____ Certified photocopy of ratings obtained in the Licensure
    Examination for Professional Teachers (LEPT)/ Professional Board
    Examination
    for Teachers (PBET)
    ____ Certified photocopy of Transcript of Records
    ____ Certified photocopy of certification from the school graduated
    indicating the General Weighted Average (GWA)
    ____ Copies of service records, performance rating and school clearance
    for those with teaching experience. If unavailable, the
    applicant must submit a justification citing the reason/s for
    unavailability.
    ____ Certified photocopy of specialized trainings/National Certificate II
    ____ Certified photocopy of Voter’s ID and/or any proof of residency
    ____ Certified photocopy of National Bureau of Investigation (NBI)
    clearance
    ____ Omnibus certification of authenticity and veracity of all documents
    submitted, signed by the applicant.
    ____ Certificates of Trainings

    SCHOOL SCREENING COMMITTEE:

    __________________________ ___________________________
    Member Member

    __________________________ ___________________________
    Member Member

    _____________________________
    Chairman
    Republic of the Philippines
    Department of Education
    Region I
    SCHOOLS DIVISION OFFICE I PANGASINAN
    Lingayen

    OMNIBUS SWORN STATEMENT


    AFFIDAVIT

    I, Jessa M. Albuero, of legal age, single, Filipino, and a resident of Brgy.


    Calvo, Mangatarem, Pangasinan after duly sworn in accordance with the law,
    do hereby repose and state that;

    1. I am executing this omnibus sworn statement certification to assure the


    authenticity and veracity of all documents submitted.

    a. Written Application/Letter of Intent


    b. CSC Form 212, Revised 2017 (Personal Data Sheet) in two (2) copies
    with the latest 2x2 ID picture
    c. Certified photocopy of Professional Regulation Commission (PRC)
    professional ID card/ certificate of registration/ license
    d. Certified photocopy of ratings obtained in the Licensure Examination
    for teachers (LET)/ Professional Board Examination for Teachers
    (PBET)
    e. Certified photocopy of Transcript of Records
    f. Certified photocopy of certification from the school graduated
    indicating the General Weighted Average (GWA)
    g. Copies of service records, performance rating and school clearance
    for those with teaching experience. If unavailable, the applicant
    must submit a justification citing the reason/s for
    unavailability.
    h. Certified photocopy of specialized training/National Certificate II
    i. Certified photocopy of Voter’s ID and/or any proof of residency
    j. Certified photocopy of National Bureau of Investigation (NBI) clearance
    k. Omnibus certification of authenticity and veracity of all documents
    submitted, signed by the applicant.
    l. Certificates of Trainings

    2. I assume full responsibility and accountability on the validity and


    authenticity of documents submitted and understand that any violation will
    automatically disqualified me from the selection process.

    IN WITNESS WHEREOF, I have set my hands this ______________________ at


    ___________________________ Philippines.

    JESSA M. ALBUERO

    SUBSCRIBED AND SWORN TO before me this ___________________________


    affiant exhibiting to me this community tax no. issued on
    _______________________ at Mangatarem, Pangasinan.

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