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Service Record Request Form

The document is a requisition slip from the Schools Division Office of Camarines Sur requesting personnel documents like service records, certificates of employment and leaves of absence. It provides instructions on filling out the form and notes it must be signed by the requestor.

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Niño Belano
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66 views1 page

Service Record Request Form

The document is a requisition slip from the Schools Division Office of Camarines Sur requesting personnel documents like service records, certificates of employment and leaves of absence. It provides instructions on filling out the form and notes it must be signed by the requestor.

Uploaded by

Niño Belano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republlc of the Phlppines

Department of Bducation
Reglon V
SOHOOLS DIVISION OFFICE OF CAMARINES SUR

DATE:
NORMA B SAMANTELA, CESO VI
Schools Division Superintendent
DepEd Division of Camarines Sur

Attn: MARIA DIVINA H. CALLEJA


Administrative Officer IV (HRM0)

REQUISITIONSLIP
(Pls.Check the appropriate
Service Record
(For newly hired, pls. attach PDS and Approved Appt.)
Certificate of LAWOP
Certificate of Employment
Copy of PIlantilla
Division Clearance
(Pls. attach school/district clearance)
Special Order, pls. specify.
Others

Plese fill-up all information:


Name of Requestor:
Designation/Position:
District and School:
Employee Number:
Purpose:
Mobile Number:

Signature over Printed Name


of Requestor

Noted by:
School Head/PSDS HR will be issuing one (1) copy of Service Record ONLY.
Have it photocopied to be used for other purposes.
Valid up to 1 year upon issuance.

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