Share

OSPC Form 4 CAV Application Form

CHED Certification of Authentication and Verification for one stop service center for Overseas Filipino Workers

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: OSPC Form 4

C o m m i s s i o n o n H i g h e r E d u c a ti o n
Office of Student Development and Services Services
International Student Affair s Division
3R D H .E .D .C . B uil di ng, C .P . Gar cia Ave ., U P D ilim an
Q uez o n C ity

Tel #: (02)441-1220

One-Stop Service Center for Overseas Filipino Workers (OSSCO)
(formerly Philippine Seafarers’ One-Stop Processing Center)

ISAD FORM
(for OSSCO use only)
Page 1/1

Title: APPLICATION FORM FOR CERTIFICATION, AUTHENTICATION AND
VERIFICATION (CAV) (ISAD FORM - 1)
Revision No.: 2
Revision Date: October 3, 2016

Checked by: ISAD
Issued by: OSDS

Name of Applicant
Age:_____

Gender:

Male

Female

Present Address:
Provincial Address
(if any):

________________________________________________________________
________________________________________________________________

Contact Numbers:

________________________________________________________________
________________________________

E-Mail Address
Birth Date:

__________________

BirthPlace:

________________________________

Name of School
Graduated from:
________________________________________________________________
Program:
_______________________
Date
Graduated:
Sea based (SRC/SIRB)
Others, Please specify _______________
Purpose for applying:
Land based (DFA “red ribbon”)
What country? __________________
School Address:

How many copies of CAV? _____________
Enclosures (please check upon presentation of the original copy):
1.
2.

Official Transcript of Records 3.
Diploma
4.

Certification
Clinical Experience for BSN

Date Applied: ____________________________
(This portion to be filled-up by CHED-OSDS staff)
Application
Received by:

_____________________________

Remarks:

Applicant’ Signature or Authorized
Representative Signature
(Printed Name Over Signature)

OSPC Form 4

BACK OF THE APPLICATION FORM
Requirements:

1. Accomplished Application form (available at www.ched.gov.ph, Office of Students Development
and Services (OSDS), or at the CHED Booth at the Philippine Overseas Employment
Administration, Blas Ople Building, EDSA corner Ortigas Avenue, Mandaluyong City)
2.
3.
4.
5.

Original copies of Transcript of Records and Diploma
Two (2) sets of photocopies of Transcript of Records (T.O.R)
Two (2) sets of photocopies of Diploma
Certification from Higher Education Institution (HEI)

Schedule of the Availability of Service:
Monday to Friday
8:00 am to 5:00 pm
Fees:
Php 80.00 per copy
Total/Maximum Duration of Process:
Fifteen (15) Days depending on the verification of CHED Regional Offices or concerned Higher Education
Institutions.
Instructions:
1. Files the application at the International Students Affairs Division (ISAD) Staff, Office of Student
Development and Services (OSDS) or CHED Booth at the Philippine Overseas Employment
Administration, Blas Ople Building, EDSA corner Ortigas Avenue, Mandaluyong City.
2. Pays the Fee to the Cashier or CHED authorized personnel at the CHED Booth, POEA.
3. Submits the accomplished application form with the attached school credentials to the ISAD Staff and
receives claim stub, provisional receipt or official receipt.
4. Follows-up thru phone to OSDS.
o

If OFW (Sea-based), Picks – up the C.A.V. and documents at the OSDS.

o

If OFW (Land-based), follows-up with OSDS the Control No. and Houseway Bill and date of
release to the Department of Foreign Affairs (DFA).
▪

Picks-up the CAV and documents with red ribbon upon application for authentication and
payment to DFA.
 
Page of
Share