Republika ng Pilipinas

Kagawaran ng Edukasyon
Rehiyon V
TANGGAPAN NG MGA PAARALANG PANSANGAY NG CAMARINES SUR

DOCUMENTARY REQUIREMENTS FOR PROMOTIONAL APPOINTMENT

NAME :____________________________________________________________________________________________
Proposed Position: ___________________SCHOOL ASSIGNMENT:____________________________________
NO. OF
SET A (CSC FILE) FORMS/DOCUMENTS COPIES
1. CS Form 212 (Revised 2017) (Personal Data Sheet) Original copy (duly notarized) with
attached latest passport size picture with name tag and signature, white background (can 3
be encoded or hand-written, please use black ink pen)
2. Work Experience Sheet 3
3. Certificate of Good Standing (original or authenticated by PRC ) 2
4. PRC License (authenticated by PRC) 2
5. CS Form No. 1 (Position Description Form ) 2
6. CS Form No. 32 (Oath of Office) Original copy with Documentary Stamp (Write your First 2
Name, Complete Residential Address and Position Title - Hand written)
7. CS Form No. 4 (Certificate of Assumption to Duty)1stparagraph(Write your FN,MN,LN, Position 2
Title, Name of School Assignment)Hand Written,2nd paragraph(Write your FN,MN, LN and your Position Title),
3rdparagraph -leave it blank
8. Transcript of Records (original or authenticated by the School/University) 2
9. Marriage Contract/Certificate issued by the PSA (for married employees) -Original copy 2
10. Certificate of Live Birth (issued by the PSA) Original copy 2
11. NBI Clearance- Original copy 2
12. CS Form No. 9 (CSC Publication of Vacant Item) 1
13. Updated Service Record (original copy) 1
14. Certification of Performance Rating (Last 3 Rating Period) original/authenticated 2
11. Justification (Applicable only if the proposed position is 3 salary grade higher than the 1
previous position.)

NO. OF
SET B (201 FILE – DIVISION OFFICE) FORMS/DOCUMENTS COPIES
1. CS Form 212 (Revised 2017) (Personal Data Sheet) Original Copy 1
2. Work Experience Sheet 1
3. Certificate of Good Standing (photocopy ) 1
4. PRC License/Certificate of Eligibility (photocopy) 1
5. CS Form No. 1 (Position Description Form ) 1
6. CS Form No. 32 (Oath of Office) 1
7. CS Form No. 4 (Certificate of Assumption to Duty) 1
8. Transcript of Records (original or authenticated by the School/University) 1
9. Marriage Contract/Certificate issued by the PSA (for married employees) -Photocopy 1
10. Certificate of Live Birth (issued by the PSA) Photocopy 1
11. NBI Clearance- Photocopy 1
12. CS Form 211 (Revised 2018) - Medical Certificate , please attach photocopy of the
following results: 1
a. Blood Test d. Drug Test
b. Urinalysis e. Neuro-Psychiatric Examination(original copy)
c. Chest X-Ray
13. Updated Service Record (authenticated copy) 1
14. Certification of Performance Rating (Last 3 Rating Period) authenticated copy 1
15. Approved Recommendation(original) 1
16. Justification (Applicable only if the proposed position is 3 salary grade higher than the 1
previous position.)
NOTE:

 ALL PHOTOCOPIED DOCUMENTS SHOULD BE AUTHENTICATED BY THE SCHOOL/

Adres: Freedom Sports Complex, San Jose, Pili, Camarines Sur

 ALL DOCUMENTS FOR SET A AND SET B MUST BE PLACED INTACT IN ONE LONG-SIZED
BROWN TAGBOARD FOLDER.

VALIDATED AND PROCESSED:

JEZALENE JOY D. ALBEZA/EDEN B. MACANDOG

REVIEWED:

MARIA DIVINA H. CALLEJA

Adres: Freedom Sports Complex, San Jose, Pili, Camarines Sur