OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS
I, ____________________, Filipino, of legal age, with present address at
______________________, after being sworn in accordance with law, hereby depose and state
that:
I am applying for TEACHER I at ______________________________________________,
Position
1.
School
School Address
I have submitted the following documents:
1.1
CSC Form 212 (Revised 2017) in two copies with the latest passport ID
picture
1.2
Certified photocopy of PRC Certificate of Registration and License
1.3
Certified photocopy of rating obtained in the Licensure Examination for
Teachers/ Professional Board Examination for Teachers
1.4
PRC Certificate of Good Standing
1.5
Transcript of Records and Certificate of General Weighted Average
1.6
Certificates of specialized seminar and training
1.7
Certificate of voter’s registration
1.8
NBI Clearance
2.
I am executing this Certification to attest to the authenticity and veracity of all
documents submitted.
3.
By executing this Omnibus Certification of Authenticity and Veracity of
Documents, I hereby authorize the Department of Education, Division of Catbalogan City
through the School Principal, to verify the authenticity of the abovementioned documents.
IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of March 2019 at Catbalogan
City.
__________________
Signature over printed name
PRC ID No.
Date
SUBSCRIBED AND SWORN TO before me this ____ day of _______ affiant exhibiting to me his/her
community tax certificate no. _______ issued on _____ day of _______________ at
________________.