Omnibus Certification of Authenticity and Veracity of Documents

DEXTER C. DACIR
I, ___________________________, Filipino, of legal age, with permanent address at
385 SAN LORENZO ST. POB. TIGBI, TIWI, ALBAY
______________________________________________, after being sworn in accordance with law,
hereby depose and state that:

TIWI AGRO INDUSTRIAL SCHOOL

1. I am applying for ________Teacher I_________ at ________________________________________,
Position School

BAGUMBAYAN, TIWI, ALBAY

_________________________________________________________________________________;
Address of School

2. I have submitted the following documents:

2.1 CSC Form 212
2.2 Photocopy of PRC License
2.3 Photocopy of Ratings from LET
2.4 Photocopy of Official Transcript of Records
2.5 Photocopy of Trainings Attended and Awards Certificates
2.6 Photocopy of Voter’s ID
2.7 Photocopy of NBI Clearance

3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.

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

authorize the Department of Education, Division of Albay through the School Principal, to verify the
authenticity of the above mentioned documents.

_____________________________________
Signature over printed name

__________________________
Date