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Republika Ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG LUNGSOD NG DABAW
Lungsod ng Dabaw
TIN: 000-863-958
TEL. NOS. 224-3274/224-0100/227-4726
221-0059/222-1672/221-8587/224-0854/225-3600
www.deped-davaocity.ph

C E R T I F I C A T I O N OF RECEIVED APPLICATION DOCUMENTS


(Kinder/Elementary and Junior High School)

This is to certify that Mr./Ms. __________________________________ , an applicant for Elementary/Junior


High School Teaching Position has submitted the following documents:

Documents submitted # of copies Remarks


1. Letter of Intent addressed to the Schools Division Superintendent through
the School Head
2. CSC Form 212, Revised 2017 (Personal Data Sheet) all original and duly
notarized with the latest passport size ID picture,
3. Work Experience Sheet
4. Certified photocopy of PRC ID and PRC Report of Rating (certified by
PRC)
5. Certified copy of Transcript of Records (certified by the school graduated)
6. Certification of General Weighted Average (GWA) issued by the school
graduated
7. Certification, Authentication and Verification (CAV) issued by CHED or
SUCs
8. Copies of service records / Certificate of employment, performance rating,
and school clearance for those with teaching experience. If unavailable, the
applicant must submit a justification citing the reason/s for unavailability.
9. Certificates of specialized training, if any
10. Certified copy of the Voter's ID and/or any proof of residency as deemed
acceptable by the School Screening Committee
11. NBI Clearance
12. Birth Certificate issued by Phil. Statistics Authority (1 original, 1 photocopy)
13. Marriage Contract issued by Phil. Statistics Authority (for female married
applicants), 1 original, 1 photocopy
14. Omnibus certification of authenticity and veracity of all documents
submitted, signed by the applicant

This is to further certify that the aforesaid documents were checked and found to be:
 Complete and in order;
 Lacking, (lacking documents shall be submitted on or before: ______________________

It is informed that all submitted documents shall be subject for verification and authentication by the School Selection
Committee / Division Selection Committee pursuant to DepEd Order No. 7, s. 2015.

Issued this ______ day of _________________ 2019.


UAN: __________
Issued by: For applicants with no Unique Application Number
(UAN). Please register at pplication.deped.gov.ph
(Signature over Printed Name) for the issuance of the UAN.

Note:

The specific schedule of interview will be posted on www.deped-davaocity.ph and on Facebook page (Deped Davao City
Human Resource Management Office)

Legend:  - if document is present X - if document is not present N/A - if not applicable

Fn:D/Forms/Application Documents/Elem, JHS Certification of Documents

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