Department of Education

Region III
DIVISION OF PAMPANGA

MASANTOL HIGH SCHOOL

Bebe Anac, Masantol, Pampanga

Name of Employee:
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Surname

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Given Name

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Middle Name

Home Address:
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Contact No. ________________________________
Item No.
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Employee No. ___________________________
PRC ID No.
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GSIS Policy No.

GSIS ID No.
TIN

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CHECKLIST OF 201 FILES

Appointment (CSC F-33 )

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________________
Position
Nature
CSC Form 212
Medical Record
Notices of Salary Adjustments/
Step Increments
Oath of Office
Position Descriptive Form (PDF)
Performance Evaluation Report
Service Record
Statements of Assets & Liabilities
Report of Rating
(CS Eligibility/Board Rating)
Residence Certificate
W2
Transcript of Records
Commendations/Sanctions (If any)

YES
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Status
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NONE
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________________
Effectivity
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CERTIFIED CORRECT:
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Printed Name/Signature
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Position/Designation