OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, _______________________________, Filipino, of legal age, with permanent address at

__________________________________________________________, under oath, hereby depose and
state that:

1. That each of the document submitted is an authentic and original copy or a true and
faithful reproduction of the original, complete and that all statements and information provided therein
are true and correct;

2. That I am assuming full responsibility and accountability on the validity and

authenticity of the documents submitted;

3. That I am aware that any violation will automatically disqualify me from the selection
process;

4. That I am making these statements as part of the recruitment requirement of teacher

applicants to the Department of Education, Division of City Schools, Valenzuela City for SY 2017 - 2018 .

___________________________
Applicant

SUBSCRIBE AND SWORN to before me this ___________ day of _______________, 20 ___,

affiant exhibiting to me his/her Community Tax Certificate No. ______________ issued on
____________ at _________________________________, Philippines.

______________________________

Notary Public

Until ______________________
PTR No. ______________________
Date _______________________
Place _______________________
TIN _______________________

Doc. No. _____________________

Page No. _____________________
Book No._____________________
Series of _____________________