January 15, 2018

CRISTITO A. ECO, CESO VI

Schools Division Superintendent
Division of Catbalogan City
Catbalogan City, Samar

Sir:

I have the honor to submit herewith the following documents as an applicant for a
teaching position in the Division of Catbalogan City, to wit:

Remarks and Initial of

Document the Receiving School Date
Head
a. CSC Form 212 (Revised 2017) with 2x2 ID picture
b. Certified photocopy of PRC professional
identification card or a PRC certification
c. Certified photocopy of ratings in the Licensure
Examination for Teachers (LET)/Professional
Board Examination for Teachers (PBET)
d. Certified photocopy of Transcript of Records with
General Weighted Average (GWA) signed by the
school registrar
e. Copies of certificate of employment and service
records for those with teaching experience
f. Certificates of specialized trainings, if any
g. Certified photocopy of the Voter’s ID and/or any
proof of residency as deemed acceptable by the
School Screening Committee
h. NBI clearance
i. Omnibus certification of completeness,
authenticity and veracity of all documents
submitted, signed by the applicant

Likewise, I hereby certify that these documents that I have submitted are authentic and
true and I assume full responsibility and accountability and its validity.

Submitted by:

_______________________________________
(Signature over printed name of Applicant)
ACKNOWLEDGMENT RECEIPT
I hereby received and verified the authenticity
of the above stated documents

_______________________________________
(Signature over printed name)
School Head
Chairman School Selection Committee