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Cav Fillable Form 9 - 13

This document is an application form for a Certificate of Authenticity and Verification (CAV) from the Department of Education Region III in the Philippines. It requests information such as the applicant's name, date of birth, address, school details, and purpose for requiring a CAV. The purposes listed include employment abroad, student visas, migration, and reimbursement for educational expenses of overseas Filipino workers' children. The second part is for the regional office and lists the documentation required from graduates and undergraduates of public and private schools to process the CAV application.

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K-Cube Morong
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650 views1 page

Cav Fillable Form 9 - 13

This document is an application form for a Certificate of Authenticity and Verification (CAV) from the Department of Education Region III in the Philippines. It requests information such as the applicant's name, date of birth, address, school details, and purpose for requiring a CAV. The purposes listed include employment abroad, student visas, migration, and reimbursement for educational expenses of overseas Filipino workers' children. The second part is for the regional office and lists the documentation required from graduates and undergraduates of public and private schools to process the CAV application.

Uploaded by

K-Cube Morong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION III
Matalino St., D.M. Government Center, Maimpis, City of San Fernando (P)
Website: www.deped.gov.ph/region-iii  Email: [email protected]
Tel: (045) 5988580 - 89

ANNEX O
CAV FORM 15 – CAV APPLICATION FORM
Control No.:
Click here to enter a
Date of Application date.

CAV APPLICATION FORM


NAME OF LEARNER: Type here
DATE OF BIRTH: Click here to enter a date.
PLACE OF BIRTH: Type here
PRESENT ADDRESS: Type here
CONTACT NO.: Type here
NAME OF SCHOOL: Type here
ADDRESS OF SCHOOL Type here

PURPOSE (Please check any of the following):


☐ EMPLOYMENT ABROAD ☐ FIANCÈ VISA ☐ STUDENT VISA
☐ SEAMAN’S BOOK/SRC ☐ TOURIST VISA ☐ DESCENDANT’S VISA
☐ MIGRATION ABROAD ☐ REIMBURSEMENT OF EDUCATIONAL
ALLOWANCE/ TUITION FEES OF
CHILDREN OF OFW’S
☐SUCH OTHER PURPOSE AS MAYBE REQUIRED BY THE DFA
Signature Over Printed Name
(Applicant/Representative)

(TO BE FILLED-UP BY THE REGIONAL OFFICE)

Requirements Graduates Undergraduates


Public Private Public Private
1. Student Permanent Record (Form 137) ☐ ☐ ☐ ☐
2. Diploma ☐ ☐
3. Certificate of Completion/Graduation ☐ ☐ ☐ ☐
4. Special Order ☐
5. Certificate of Accreditation (for PAASCU ☐
Accredited Schools)
6. Transmittal ☐ ☐ ☐ ☐
7. ALS A&E / PEPT ☐
a. Certification from BEA ☐ ☐
b. Rating ☐ ☐
c. Certification from Division Office ☐ ☐
8. Passport Size Picture (2 pcs.) ☐ ☐
9. Documentary Stamp ☐ ☐
10. Authorization Letter/ SPA/ I.D.
11. Note: If the applicant could not make it personally, a letter authorizing the bearer
should be presented to the CAV processor.

Original and 2 photocopies of the Requirements

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