Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Padre Burgos, Quezon

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, CHARA KAYE F. QUINTO, Filipino, of legal age, with permanent address Brgy.
Kinagunan Ibaba, Padre Burgos, Quezon, at under oath, hereby depose and state that:

1. I am applying for any teaching position in Elementary at Padre Burgos District at

Padre Burgos, Quezon.

2. I have submitted the following documents.

A. Application Letter
B. CSC Form 212 (Revised 2017) Personal Datasheet
C. Certified photocopy of the PRC Professional Identification Card
D. Certified photocopy of ratings obtained in the Licensure Examination for
Teachers / Professional Board Examination for Teachers
E. Certified photocopy of Transcript of Records
F. Certified photocopy of Voter’s Certification
G. Barangay Clearance
H. NBI clearance
I. Seminar and Trainings Certificate

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

documents submitted.

4. By executing the Omnibus Certification of Authenticity and Certified

photocopy of Veracity of Documents, I hereby authorized the Department of
Education, Division of Quezon through the School Principal to verify the authenticity of
the above mentioned documents.

CHARA KAYE F. QUINTO

Signature Over Printed Name

SUBSCRIBE AND SWORN TO BEFORE ME this ____day of January 2019 at Padre

Burgos, Quezon and affiant having exhibited to me her Community Tax Certification No.
05925293 issued on January 7, 2019 at Padre Burgos, Quezon.

ROGER A. PANGANIBAN
Municipal Mayor