Request for Authenti..

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Panunumpa sa Katungkulan Date Issued: Panunumpa sa Katungkulan Date Issued: PAST/PASSA. SY: PAST/PASSA. SY: Reinstatement to Duty. Effectivity DateĀ ...
KAGAWARAN NG EDUKASYON Sangay ng Lungsod ng Dabaw

KAGAWARAN NG EDUKASYON Sangay ng Lungsod ng Dabaw

Request for Authentication of DepEd-Issued Documents

Request for Authentication of DepEd-Issued Documents

Date:

Date:

Purpose:

Purpose:

Requesting Party:

Requesting Party:

Office/School:

Office/School:

Check and present the original copies of the documents to be authenticated: v

Type of Document

No. of Copies

Check and present the original copies of the documents to be authenticated: v

Type of Document

No. of Copies

Application for Leave

Effectivity Date:

Application for Leave

Effectivity Date:

Appointment

Effectivity Date:

Appointment

Effectivity Date:

Assignment Letter

Effectivity Date:

Assignment Letter

Effectivity Date:

Clearance

Clearance

Commutation of Leave

Effectivity Date:

Commutation of Leave

DepEd Certificates

Effectivity Date:

DepEd Certificates

DepEd ID

DepEd ID

Medical Certificate

Date Issued:

Medical Certificate

Date Issued:

NOSA/NOSI

Effectivity Date:

NOSA/NOSI

Effectivity Date:

Payslip:

Month/s

Year:

Payslip:

Month/s

Year:

Panunumpa sa Katungkulan Date Issued:

Panunumpa sa Katungkulan Date Issued:

PAST/PASSA

PAST/PASSA

SY:

Reinstatement to Duty

Effectivity Date:

SY:

Reinstatement to Duty

Service Credit Card

Effectivity Date:

Service Credit Card

Service Record

Service Record

Statement of Assets, Liabilities & Networth Tax Forms (1902/2305)

Year:

Statement of Assets, Liabilities & Networth

Year:

Tax Forms (1902/2305)

Others (pls. specify)

Year:

Year:

Others (pls. specify)

If request for authentication is filled through a representative, attach the following:

If request for authentication is filled through a representative, attach the following:

1. Authorization Letter or SPA

1. Authorization Letter or SPA

2. Valid ID of the requesting party & the authorized representative

2. Valid ID of the requesting party & the authorized representative

Authorized Representative (Printed Name and Signature)

Authorized Representative (Printed Name and Signature)

KAGAWARAN NG EDUKASYON Sangay ng Lungsod ng Dabaw

KAGAWARAN NG EDUKASYON Sangay ng Lungsod ng Dabaw

Request for Authentication of DepEd-Issued Documents

Request for Authentication of DepEd-Issued Documents

Date:

Date:

Purpose: Requesting Party: Office/School:

Purpose: Requesting Party: Office/School:

Check and present the original copies of the documents to be authenticated: v Type of Document No. of Copies

Check and present the original copies of the documents to be authenticated: v Type of Document No. of Copies

Application for Leave

Effectivity Date:

Application for Leave

Effectivity Date:

Appointment

Effectivity Date:

Appointment

Effectivity Date:

Assignment Letter

Effectivity Date:

Assignment Letter

Effectivity Date:

Clearance

Clearance

Commutation of Leave

Effectivity Date:

DepEd Certificates

Commutation of Leave

Effectivity Date:

DepEd Certificates

DepEd ID

DepEd ID

Medical Certificate

Date Issued:

Medical Certificate

Date Issued:

NOSA/NOSI

Effectivity Date:

NOSA/NOSI

Effectivity Date:

Payslip:

Month/s

Year:

Payslip:

Month/s

Year:

Panunumpa sa Katungkulan Date Issued:

Panunumpa sa Katungkulan Date Issued:

PAST/PASSA

PAST/PASSA

SY:

Reinstatement to Duty

Effectivity Date:

Service Credit Card

Effectivity Date:

Service Credit Card

Service Record

Service Record

Statement of Assets, Liabilities & Networth Tax Forms (1902/2305)

SY:

Reinstatement to Duty

Year:

Year:

Others (pls. specify)

Statement of Assets, Liabilities & Networth Tax Forms (1902/2305)

Year:

Year:

Others (pls. specify)

If request for authentication is filled through a representative, attach the following:

If request for authentication is filled through a representative, attach the following:

1. Authorization Letter or SPA

1. Authorization Letter or SPA

2. Valid ID of the requesting party & the authorized representative

2. Valid ID of the requesting party & the authorized representative

Authorized Representative (Printed Name and Signature)

Authorized Representative (Printed Name and Signature)