OMNIBUS CERTIFICATION AND VERACITY OF DOCUMENTS

SUBMITTED

CERTIFICATION
I, _______________________________________, of legal age, ______________ [Civil
Status],__________________(Nationality), and residing at
________________________________________ (Address of Teacher-Applicant), after
having been duly sworn in accordance with law, do hereby depose and state that:

1. Each of the documents submitted in satisfaction of the requirements for Hiring

Teaching Position is an authentic copy of the original, complete, and all statements
and information provided therein are true and correct.

2. I am authorizing the School Selection Committee or its duly authorized

representative(s) to verify all the documents submitted;

3. I am aware of and have undertaken the following responsibilities as a Teacher-

Applicant:

a) I carefully examine all of the requirements for Hiring Teaching Position

b) I acknowledge all conditions stipulated in DepEd Order No. 7, s. 2015 re:

Hiring Guidelines for Teacher I Positions Effective School Year (SY) 2015-
2016 (For Elementary and Junior High School applicants), DO No. 50, s.
2016 (Hiring Guidelines for T I positions in Schools Implementing IP
Education effective SY 2016-2017) and DepEd Order No. 3, s. 2016 re:
Hiring Guidelines for Senior High School (SHS) Teaching Positions
Effective School Year 2016-2017 (For Senior High School applicants)

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

______________ 2019 at ____________, General Santos City, Philippines.

___________ _____________________________
Signature Over Printed Name of the Teacher-Applicant
 CERTIFICATION
(For R egul ar and IP ED : K i ndergarten, E lem entary and
Junior High School)

TO WHOM IT MAY CONCERN:

This is to certify that _____________________________________ receives the following

Name of School
documents of ___________________________________ for ranking of Teacher I applicants
Name of Applicant
on ____________________:

_____ 1. CSC Form 212 (Revised 2017) in two copies with latest 2x2 ID picture
_____ 2. Certified photocopy of the PRC professional identification card
_____ 3. Certified photocopy of ratings obtained in the Licensure Examination for Teachers/
Professional Board Examination for Teachers
_____ 4. Certified copies of Transcript of Records
_____ 5. Copies of Service Record, Performance Rating and School Clearance for those with
teaching experience. If unavailable, a justification citing the reason/s for unavailability
_____ 6. Certificates of specialized training, if any
_____ 7. Certified copy of the Voter’s ID and/or any proof of residency
State: ___________________________________
_____ 8. NBI clearance
_____ 9. For IPED Applicants: Applicants who by ethnicity belong to an ICC/IP Community, a
Certificate or any form of attestation from the IP elder(s)/Leader(s) recognized by
the community attesting that the applicant is a member of the IP community.
_____ 10. Omnibus certification of authenticity and veracity of all document submitted signed by
the applicant

Given this _____ day of ________________, 2019 at ____________________________,

Name of School
Division of General Santos City.

___________ _____________________________
Signature Over Printed Name of the School Head
 CERTIFICATION
(For Senior High School)

TO WHOM IT MAY CONCERN:

This is to certify that ______________________________________ receives the

Name of School
following documents of _______________________________ for ranking of Senior High School
applicants Name of Applicant
on ____________________:

Mandatory requirements:

_____ 1. Letter of intent which shall indicate the following information:

a. Statement of purpose/ expression of interest
b. Subject group he/she intends to teach
c. Preferred school(s), if any
_____ 2. CSC Form 212, Revised 2017 (Personal Data Sheet) in two (2) copies with the latest
2x2 ID picture
_____ 3. Certified photocopy or certificates of relevant specialized trainings, if any
_____ 4. Certified copy of Voter’s ID and/or any proof of residency
_____ 5. National Bureau of Investigation (NBI) clearance

_____ 6. Omnibus certification of authenticity and veracity of all documents submitted, signed by
the applicant

Additional Requirements:

_____1. Certified photocopy of Diploma on Bachelor’s degree

_____ 2. Certified photocopy of Transcript of Records (Bachelor’s degree, Master’s degree and
Doctorate degree) with at least 15 units of specialization in relevant
strand/specialized subject (CAV from CHED)
_____ 3. Certified photocopy of Professional Regulation Commission (PRC) professional ID
card/certificate of registration/license

_____ 4. Certified photocopy of ratings obtained in the Licensure

_____ 5. Examination for Teachers (LET)/ Professional Board Examination for Teachers (PBET)

Additional Requirements

____ 1. Written approval from his/her head of unit if he/she is currently employed by the national
government or the local government unit.

Additional requirements for TVL teacher- applicants:

____ 1. Technical Education and Skills Development Authority (TESDA) National Certificate (NC)
of at least one level higher than course to be taught in subject to be taught (e.g. NC-III in SMAW
to teach SMAW NC-II) or same level if there is no NC level higher. Exceptions are given to
applicants for courses with no National Certificate (e.g. Handicraft courses)
____ 2. Certified photocopy of Trainers Methodology Certificate (TMC), if available

Additional requirement for Arts and Design and Sports Tracks teacher-applicants

____ 1. Certified photocopy of Certification of Proficiency/ Recognition from recognized and

respectable relevant associations/ organizations/ guild

Additional requirement for HEI/TVI faculty

____ 1. Certified photocopy of certification of Status of Employment/ Service Record from HEI/TVI

Given this _____ day of ________________, 2019 at ____________________________,

Name of School
Division of General Santos City.

___________ _____________________________
Signature Over Printed Name of the School Head