Omnibus Certification of Authenticity and Veracity of Documents

I, __________________________, Filipino, of legal age, _______(married/single) with permanent

address at _____________________________________________, after having been duly sworn
in accordance with law, hereby depose and state that:

1. I am applying for__________________ at _________________________,

Position School / Office

___________________________;
Address of School / Office

2. I am executing this Omnibus Sworn Certification to attest to the authenticity

and veracity of all documents I submitted;

3. I assume full responsibility and accountability on the validity and authenticity

of the documents submitted and I understand that any violation will
automatically disqualify me from the selection process.

IN WITNESS WHEREOF, I have hereunto set my hand this ________ of

day

________________, __________ at _______________________, Philippines.

month year

____RICHARD R. RAQUEÑO_________
Signature over printed name

SUBSRIBE AND SWORN TO before me this _______ of _____________,

day month

________ with Affiant exhibiting to me his/her Community Tax No. ______________

year

issued on __________________ at __________________, Philippines.

date place of issue

________________________
Notary Public