Republic of the Philippines

Department Of Education
Region V
Division of Camarines Sur

OMNIBUS CERTIFICATION

I, ANNA MARIE F. TOLEDO , Filipino, of legal age, with permanent address at BLISS,
CARAYCAYON TIGAON, CAMARINES SUR, after being sworn in accordance with the law
hereby and state that:

1. I am applying for JUNIOR HIGH SCHOOL TEACHER at TIGAON DISTRICT.

2. I have submitted the following documents:

2.1.1 Letter of Intent which indicates the statement of purpose/expression of

interest, subject group that I intent to teach in my preferred school.
2.1.2 CSC Form 212, Revised 2017 (Personal Data Sheet) in (2) copies with the
latest 3.5 cm x 4.5 cm passport size picture.
2.1.3 Certificate of Good Standing
2.1.4 Certificate of Board Rating
2.1.5 Certified Photocopy of Certificates of relevant specialized trainings
2.1.6 National Bureau of Investigations ( NBI) clearance
2.1.7 Certified copy of voter’s Certification and or Proof of Residency
2.1.8 Certified photocopy of Diploma on Bachelor’s Degree
2.1.9 Certified Photocopy of Transcript of Records with Specialized Subject
2.1.10 Omnibus certification of authenticity and veracity of all documents
submitted, signed by the applicant.

3. I am executing this Certification to attest to the authenticity and veracity of all

documents submitted.

Signature of Applicant

Republic of the Philippines

Province of Camarines Sur
Municipality of_________.

4. SUBSCRIBED AND SWORN to before me this _______ day of _____________,

2019 Affiant exhibiting her/his Community Tax Certificate No.30681169 Issued on
June 13, 2018 at LGU- Tigaon Camarines Sur.

Not. Reg. No. Notary Public

Book No.
Series of 2018

ONE Vision and Mission

ONE Camarines Sur Division
ONE Goal: Quality Education