OMNIBUS CERTIFICATION OF AUTHENTICITY AND

VERACITY OF DOCUMENTS

I, Jhamaika Dumalag Paet, Filipino, of legal age, with permanent address at Namnama,
Cabatuan, Isabela, after being sworn in accordance with law, hereby depose and state
that:
1. I am applying for Teacher I at Cabatuan National High School, Del Pilar, Cabatuan,
Isabela

2. I have submitted the following documents:

2.1 CSC Form 212 (revised 2005) in two copies with the latest 2x2 ID picture
2.2 Certified photocopy of PRC professional identification card
2.3 Certified photocopy of ratings obtained in the Licensure Examination for Teachers/
Professional Board Examination for Teachers
2.4 Certified copy of Transcript of Records with GWA
2.5 Certificates of specialized trainings
2.6 Certified copy of Voter’s certification
2.7 NBI Clearance

3. I am executing this Certification to attest that each of the document submitted is

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;

4. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I

hereby authorize the Department of Education, Division of Isabela through the School
Principal, to verify the authenticity of the abovementioned documents.

JHAMAIKA D. PAET
Signature over printed name

SUBSCRIBE AND SWORN to before me this ____________ day of __________, 20____, affiant
exhibiting to me his/her Community Tax Certificate No. __________ issued on
_____________ at _________________________, Philippines.