Department of Education

Region IV-A CALABARZON

DIVISION OF BATANGAS

1ST Indorsement
_________________
Date

Respectfully forwarded to the Schools Division Superintendent, Division of Batangas,

Provincial Sports Complex, Bolbok, Batangas City the herein recommendation of Mr./Mrs./Ms.
CINDYLL MAE DE CASTRO MAGTIBAY
(name of appointee)
for SHS - MAPEH, vice ________________________, ___________________________.
(position) (incumbent) (reason)

The information data of the incumbent and the proposed appointee are as follows:

1. PROPOSED APPOINTEE:
a. School : FOR PERSONNEL BAUAN NATIONAL
AGRICULTURAL___ USE ONLY
& VOCATIONAL SENIOR HIGH SCHOOL
b. Nature of Appointment :
____________________________
c. Status of Appointment :
____________________________
d. Rank :
____________________________
e. Major (for secondary) :

MAPEH________________ ______
f. Track (for SHS) :

ACADEMIC___________________
g. First Day of Service : ____________________________

2. ICUMBENT:
a. Item Number : ____________________________
b. Date of Publication : ____________________________
c. Nature of Vacancy/ Leave : ____________________________

3. JUSTIFICATION FOR THE PROPOSED APPONITEE:

Ms. CINDYLL MAE DE CASTRO MAGTIBAY graduated with the Degree of Bachelor of
Secondary Education major in Music, Arts and PE at The National Teachers College,
Manila, Philippines. She is not the Division Rank List but the Senior High School is in
need of MAPEH teacher.

4. CHECKLIST OF DOCUMENTS ATTACHED:

2 copies of 1st Indorsement (this form)
3 copies of properly filled up CSC Form 212 (with passport size ID picture with
name tag)
1 photocopy of Transcript of Record (certified)
1 copy of properly filled up Position Description Form
2 photocopies of PRC License / Eligibility (not expired)
1 original copy of Medical Clearance (with neuro) for original appointee
1 original copy of NBI Clearance (for original appointee)
3 original copies of Sworn Statement of Assets and Liabilities (SALN), for original
appointee
2 copies of Oath of Office (for original appointee)
Clearance from previous employer if working (for newly hired)
BIR 1902 (for newly hired permanent employee)
Updated PHIC ER2 Form (for original or transferee from other division or
secondary schools)
2 photocopies of PRC rating with major subject (for secondary)
Updated BIR 2305 (for promotion)
Approved ranking (for promotion)
Special Order (for transferee)
 Updated Service Record & latest Appointment (for promotion and transferee)
1 Long Brown Folder with fastener (for newly hired permanent employee)

__________________
WILFREDO M.
DAKILA
School Head
Approved
Disapproved

CARLITO D. ROCAFORT, CESO V

Schools Division Superintendent