AFFIDAVIT

I, Icy Mae M. Senados, Filipino, of legal age, with permanent address at

Lapaz II, Lapasan Cagayan de Oro City, after being sworn in accordance with
law, hereby depose and state that:

1. I am applying for Teacher 1 at City Central School, Yacapin – Velez

Street Cagayan de Oro City;

2. I have submitted the following documents:

2.1 CSC Form 212 (Personal Data Sheet)
2.2 Certified photocopy of the PRC Professional Identification
Card
2.3 Certified photocopy of ratings obtained in the Licensure
Examination for Teachers
2.4 Certified copies of Transcript of Records
2.5 Copies of Service Record
2.6 Certificates of specialized trainings
2.7 Certified copy of the Voter’s Cetificate and / or any proof of
residency
2.8 NBI Clearance

3. I am authorizing the selection committee on its duly authorized

representative(s) to verify all the documents submitted as to
completeness and authenticity.

IN WITNESS WHEREOF, I have here to set my hand this ___ day of February
2019 at Cagayan de Oro City, Philippines.

ICY MAE M. SENADOS

Affiant

SUBSCRIBED AND SWORN to me this ___ day of February 2019 at Cagayan de

Oro City, Philippines. Affiant exhibiting to me his/her Community Tax
No. ______________________
Issued on ___ day of January 2019 at Cagayan de Oro City.