Annex B
ANNEX B
R & R Form 2 (Nomination Write-up for all Categories)
Nomination Write-up:
(Minimum of 250 words and Maximum of 500 words, A4 size bondpaper,Arial #12 font,including
executive summary)
Name of Nominee (Individual (Group Category)
Category) BONBON NATIONAL HIGH SCHOOL
Position: Name of School/SDO:
BONBON NATIONAL HIGH SCHOOL
Length of Service in the Position: Head of Office:
in Government ARNEL R. PEPITO
I. EXECUTIVE SUMMARY
(SEE ATTACHED FILE)
II. EXEMPLARY BEHAVIOR/CONDUCT DISPLAYED WITH THE LAST 3 YEARS
(SEE ATTACHED FILE)
III. IMPACT OF ACCOMPLISHMENTS
(SEE ATTACHED FILE)
OTHER INFORMATION (MAJOR AWARDS/CITATIONS RECEIVED/MEMBERSHIP OF
THE ORGANIZATION
CERTIFICATION
We/I attest to all facts contained herein and authorize the use of these information for
publication. We understand that the Committee on Awards will validate the accuracy of the
information contained in this form and grant our consent to the conduct of a background
investigation. Any misrepresentation made by the signatories shall be a ground for disciplinary
action pursuant to applicable Civil Service laws and rules and DEPed RO VII Rewards and
Recognition Policy.
Printed Name and Signature
Nominee Nominator PRAISE Division Office
Committee/Highest Head
HRMO
ANNEX C
R & R Form 3 (Omnibus Certification for Individual & Group Categories)
OMNIBUS CERTIFICATION OF AUTHENTICITY
AND VERACITY OF DOCUMENTS
I, ______________________________________, Filipino, of legal age, with permanent address
at _______________________________________, after being sworn in accordance with law,
hereby depose and state that:
1. I am applying for _____________________________________ at
_____________________________________________________________________________,
Name of Category Name of School/Division
______________________________________
Address of School/Division
2. I have submitted the following documents:
1. Fully accomplished Rewards and Recognition Forms
1.1 Nomination Form (Form 1)
1.2 Nominee’s Write-ups on the Highlights of Accomplishments (Form 2)
2. Updated PDS with passport size (1 ½ x 2) photo with name tag taken within the last six
(6) months prior to the nomination.
3. Endorsement letter from the Schools Division Superintendent/ Chairperson of the
Division
PRAISE Committee or its equivalent, that the nomination has undergone deliberation by
the Committee.
4. Certification of No Unliquidated Cash Advances signed under oath by the Agency’s
financial Officer/ Accountant and Certification of No Disallowances issued by the COA
resident Auditor for previous accountabilities as of December 31,2019. In case of
existing unliquidated cash advance and disallowance, a certificate status of such
financial obligations shall be issued by the COA Resident Auditor.
5. Certificate of no pending administrative/civil/criminal case.
6. Updated service record duly certified by the Agency’s Human Resource Management
officer (HRMO)
7. Performance Rating for tha last three (3) performance rating periods prior to the
nomination.
3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.
4. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I hereby
authorized the Department of Education, Division of ____________________, to verify the
authenticity of the above-mentioned documents.
_____________________________
Signature over printed name
_____________________________
Date
SUBSCRIBED AND SWORN to before me in the City/Municipality _________________________
this ________ day of ______________, 20___, affiant exhibiting to me his/her Community Tax
Certificate No. ____________________issued on _____________ at___________. Philippines.
________________________
Notary Public
ANNEX A
R & R Form 1 (Nomination Form)
RO 7 PASIDUNGOG SEARCH Passport size
Photo
