OMNIBUS SWORN CERTIFICATION

Republic of the Philippines

Province of La Union
Municipality of Luna

AFFIDAVIT

I MARIA LUREN MINA, of legal age, single, Filipino, and residing at BARANGAY
BARRIENTOS LUNA, LA UNION, after having been duly sworm in accordance with law, do
hereby depose and state that:

1. I am qualified teacher I am applying at Bungro Sucoc Integrated School.

2. I am executing this omnibus sworn certification to assure authenticity and veracity
of all documents submitted:
3. I assume full responsibility and accountability on the validity and authenticity of
the documents submitted and I understand that any violation will automatically
disqualify me from the selection process.

IN WITNESS WHEREOFF, I have hereunto set my hands this day of 2017 at

Luna, La Union, Philippines.

MARIA LUREN MINA

APPLICANT

SUBSCRIBE AND SWORN TO before me this day of , 2017,

affiant exhibiting to me her Community Tax No. at Luna, La Union,
Philippines.