REPUBLIC OF THE PHILIPPINES)

Province of Isabela )s.s

City of Cauayan )
XXXXXXXXXXXXXXXXXXXXXXXXXX

OMNIBUS CERTIFICATION OF AUTHENTICITY AND

VERACITY OF ALL DOCUMENTS SUBMITTED
I, NEIDY GUMARU of legal age, maried and a resident of Bliss Tallungan,
Reina Mercedes, Isabela after having been duly sworn to in accordance with law, deposes
and says that:

1. I am teacher of TALLUNGAN ELEMENTARY SCHOOL, Reina Mercedes

District, Reina Mercedes, Isabela.

2. As teacher applicant, I am required to submit the following documents as per

DepEd Order Nos. 12, s. 2012 to wit:

a. CSC Form 212

b. Updated Service Record
c. Transcript of Record (TOR)/Special Order
d. Performance Rating for the last three ratng periods
e. Eligibility Rating
f. Copy of the latest approved appointment
g.Documents relevant to the position applied for(MEC Order No.10,s.1979)
h. Copy of School Program indicating the number of teaching load
i. Omnibus Certification of authenticity and veracity signed by applicant.

3. Each of the documents is an authenticate 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, and,

4. That I am executing this affidavit to the truthfulness of the foregoing facts and
for whatever legal purpose/s it may serve.

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

__________________, 2019 at Reina Mercedes, Isabela.

NEIDY GUMARU
Affiant

SUBSCRIBED AND SWORN to before me this ___________________ by the

affiant with CTC No. ______________ issued at _____________ on _____________.

Doc. No.____________
Page No.____________
Book No.___________
Series of____________