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1. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
TABLE OF CONTENTS
A.Letter of Intent
B.Duly accomplished PDS with Work Experience Sheet (CS Form 212, Revised 2025)
C.Photocopy of valid and updated PRC License/ID
D.Certificate of Competency Level issued by Authorized body (if applicable)
E.Photocopy of Transcript of Records (TOR)
F.Photocopy of duly signed Service Record
G.Photocopy of latest appointment
H.Photocopy of certificate/s of completion of (NEAP)-accredited professional development
programs/ courses, or certificates of training issued by NEAP-accredited public and private
institutions or Photocopy of certificate/s of relevant specialized trainings or professional
development programs
I.Photocopy of the Performance Rating
J.Checklist of Requirements and Omnibus Sworn Statement on the Certification on the
Authenticity and Veracity (CAV) of the documents submitted and Data Privacy Consent Form
pursuant to RA No. 10173 (Data Privacy Act of 2012)
K.Other Documents
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422

2. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PERSONAL DATA SHEET
(PDS) with
WORK EXPERIENCE SHEET
B

3. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY of VALID
and UPDATED PRC
LICENCE/ID
C

4. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY of
CERTIFICATE of
COMPETENCY LEVEL

B
L
D

5. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY OF
TRANSCRIPT of RECORDS
(TOR)
E

6. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY of
DULY SIGNED
SERVICE RECORD
F

7. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY of
LATEST APPOINTMENT
G

8. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY OF CERTIFICATE/S
of COMPLETION /TRAININGS ISSUED by
NATIONAL ACADEMY of the PHILIPPINES (NEAP),
NEAP ACCREDITED PUBLIC and PRIVATE
INSTITUTION OR RELEVANT SPECIALIZED
TRAININGS OR PROFFESSIONAL
DEVELOPMENT PROGRAM (if any)
H

9. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY of
CERTIFICATE of TESDA NCII

10. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
PHOTOCOPY of
REQUIRED PERFORMANCE
RATING (with at least
Very Satisfactory Rating)
I

11. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
CHECKLIST OF REQUIREMENTS and
OMNIBUS SWORN STATEMENT on the
CERTIFICATION on the
AUNTHENTICITY and VERACITY (CAV)
of the DOCUMENTS SUBMITTED
J

12. Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Address: Barangay United Bayanihan, San Pedro City, Laguna
Telephone No.: [phone]
Email: [email protected]
FB Page: facebook.com/DepEdTayoLRCS108422
OTHER
DOCUMENTS
K