Republic of the Philippines

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
SANTA IGNACIA DISTRICT
Santa Ignacia, Tarlac

Checklist of Employee’s 201 File

Name of Employee: _______________________________________

1. APPOINTMENTS (CS Form 33, duly attested/approved)

POSITION NATURE OF APPONTMENT STATUS OF APPOINTMENT EFFECTIVITY

YES NO
2. Updated Personal Data Sheet (PDS)
(Properly filled-up and with recent Photograph)
3. Position Description Form (PDF)

4. Updated Statement of Assets and Liabilities

5. Notices of Salary Adjustments (NOSA)

6. Performance Rating Reports (Last three years)

7. Service Record

8. Trainings (3years back)

9. Transcript of Records

10. Others (Please specify)

PRC License
Guro Certificate
PBET
Marriage Certificate
GSIS Policy Contract (Photo Copy)
CS Form 211 (Medical Certificate
Oath of Office
Awards/Commendations
Approved ERF’s

Certified True and Correct:

__________________________________
Printed Name and Signature

__________________________________
Designation

Noted:

SERLITA B. AGUSTIN
District Supervisor
 Republic of the Philippines
Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
SANTA IGNACIA DISTRICT
Santa Ignacia, Tarlac

201 FILE
 Republic of the Philippines
Department of Education
Region III – Central Luzon
SCHOOLS DIVISION OF TARLAC PROVINCE
Macabulos Drive, San Roque, Tarlac City

PERFORMANCE APPRAISAL
SYSTEM FOR TEACHERS
(PAST)

AMPARO D. PASAMONTE
P-I