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_______________________ at _____________________________,

Position Name of School
__________________________________________;
Address of School

2. I have submitted the following documents:

2.1 Letter of Intent

2.2 CSC Form 212 (revised 2017) PDS in two copies with the latest 2x2 ID
picture
2.3 Certified photocopy of PRC professional identification card
2.4 Certified photocopy of ratings obtained in the Professional Board Examination for
Teachers
2.5 Certified photocopy of certificates of relevant specialized training
2.6 Certified photocopy of Work Experience Certification
2.7 Certified copy of Voter’s ID/Voters Certification
2.8 NBI Clearance
2.9 Certified photocopy of Transcript of Records on Bachelor’s degree
2.10 Certified photocopy of TESDA NCII

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

documents submitted.

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

Documents, I hereby authorize the Department of Education, Division
of_______________, to verify the authenticity of the above mentioned documents.

________________________
Signature over printed name

__________________
Date

SUBSCRIBED AND SWORN to before me in City/Municipality _____________________this

______day of_______________2018, affiant exhibiting to me his/her Community Tax certificate

No._________________ issued on _______________ at ______________________ Philippines.

________________________
Notary Public