OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, LOI M. RAMOS, of legal age , with permanent address at 0215, Purok 2, Shop, Kapatagan,
Digos City, Davao del Sur, after being sworn in accordance with the law, hereby depose and
state that,

1. I am applying for teacher 1 position at Kapatagan National High School, Mt. Apo
District, Digos City Division
2. I have submitted the following documents:
a) Application letter stating the position applied for.
b) CSC Form 212 – Revised 2017 (Personal Data Sheet) computer typed and
completely filled up with the latest 2x2 ID picture
c) Certified photocopy of Professional Regulation Commission (PRC)
professional identification card
d) Certified photocopy of ratings obtained in LET
e) Certified photocopy of Transcript of Records with General Weighted Average
f) Certificates of specialized training programs
g) Barangay clearance/Voter’s Certification
h) NBI Clearance
3. I am executing this certification to attest the authenticity and veracity of all documents
submitted.
4. I understand that any violation will automatically disqualify me from the selection
process.
5. By executing this Omnibus Certification of Authenticity and Veracity of Documents,
I hereby authorized the School’s Screening Committee, to verify the authenticity of the
above mentioned documents.

LOI M. RAMOS
Signature over printed name

SUBSCRIBED AND SWORN TO before me this ______ day of ____________, 2017 affiant
exhibiting to me her Community Tax Certificate No. ___________________ issued on
________________________ at ________________________, Philippines

Doc No. ______

Page No.______
Book No.______
Series No._____