OMNIBUS SWORN CERTIFICATION

REPUBLIC OF THE PHILIPPINES

QTIBZON CITY

AFFIDAVIT

ol'1egal age.
I nt tt r r i e d.,'.s i n.ty I c. I
. alter having been clr-il1' su'orn itl
[:iiilrint:. anrl rcsicling rrt
intld re s..v.)

rrr:r.,rrilitlt(:c r.r'illi law. d1) hE:reb1' clepose ancl statc thttt:

i. I am ti rlualifie(lteacher applicallt at
1 rttrme ctf eIetrrcilIary ()t' sec'ondtu'.t' .vcInttI )

2. 1 ant excc.trting tliis omnibus s\Yoll1 certifirl,ation to assure authet-rticitv o1' the
clocumettts sr-t brnittcel ;

.], I assutrre ti.ll resptrnsilrilitl. cln the valiciitr, and attllretlticitl. of the documcnts
s*hmitted ;rncl I Lrnr1.-rstand tlrat any' violatiott will autonlaticalll' disqualili
tle l'ron-t
the sclc:ction process.

lN \YITNESS WI.lERflOF. l har,'e hereuuto se1 m]'' hands this ---,--- dav o{'

.20 at Qrtezon C'it-v. Philippines'

Printed Nanre & Si-elnatttre' ol'Applicant

T0 before me this da1,of .20

SI]BSCITII}ET) AND SWORN

mc hislher Communit-v 'l'ax No. issr-red 0n

a1'flant e xl-rihiting ttr

___ ilt (lrrcz.rtt t'ir1. l'lrilil'rpines.

Notary' Irr-rblic