Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
SCHOOLS DIVISION OFFICE OF NUEVA VIZCAYA
Bayombong

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY

OF DOCUMENTS
I, _______________________________, Filipino, of legal age, with permanent address at
__________________________________________________________, after being sworn in
accordance with law, hereby depose and state that:

1. I am applying for a T1 position at ______________________________,

School

___________________________, ____________________, __________________

Address of School Municipality Province

that I understood well the DepEd Order 14, s. 2014 (Hiring Guidelines for T1
position)

2. I have submitted the following documents:

a) CSC Form 212 (Revised 2005) in two copies with the latest 2x2 ID picture
b) Certified photocopy of PRC Professional Identification card
c) Certified photocopy of ratings obtained in the Licensure Examination for
Teachers / Professional Board Examination for Teachers
d) Certified copy of transcript of records
e) Copies of service record, performance rating, and school clearance for those
with teaching experience
f) Certificates of specialized training, if any
g) Certified copy of the Voter’s ID and/or any proof of residency as deemed
acceptable by the School Screening Committee
h) NBI clearance

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

documents submitted.
4. I understand that any violation will automatically disqualify me from the selection
process.

5. By executing this Omnibus Certification of Authenticity and Veracity of

Documents, I hereby authorize the Department of Education, SDO Nueva Vizcaya through the
School Head, to verify the authenticity of the abovementioned documents.

___________________________
Signature over printed name

____________________
Date

SUBSCRIBED AND SWORN TO before me this _____ day of __________, 2015, affiant exhibiting
to me his/her Community Tax Certificate No. ________ issued on ______________ at
________________, Philippines.

____________________
Notary Public