Republic of the Philippines

Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS
Quezon City

OMNIBUS CERTIFICATION OF AUTHENTICITY AND

VERACITY OF DOCUMENTS

I, __________________________, of legal age, single, Filipino, with residence and

postal address at _____________________________________________________, respectfully
submit the herein Folder containing the documents incidental to my application for Teacher 1 at
______________________________________ located at ______________________________
_____________________________________.

I certify that these documents are authentic, true, free from any falsehood and
modification from the original, and that they are actually earned in good faith by myself.

I authorize the Personnel Selection Board/Division Selection Committee to make inquiry

or investigate if needed to determine whether or not these documents are authentic or true as
certified.

I also understand that in the event that any of the submitted documents will be found to
be falsified or fallacious, such will cause my outright disqualification from the evaluation and,
consequently, for the position.

_______________________________
Name

__________________
Date

SUBSCRIBED AND SWORN TO before me this _____ day of __________, 2018,

affiant exhibiting to me her Professional Identification Card under PRC Reg. No. ____________
valid until ____________________.

Doc. No. ________

Page No. _______
Book No. ________
Series of 2018