OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, _______________________________, Filipino, of legal age, with permanent address at

__________________________________________________________, under oath, hereby
depose and state that: 1. That each of the document submitted is an 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; 2. That I am assuming full responsibility and
accountability on the validity and authenticity of the documents submitted; 3. That I am aware
that any violation will automatically disqualify me from the selection process; 4. That I am
making these statements as part of the recruitment requirement of teacher applicants to the
Department of Education, Division of City Schools, Valenzuela City for SY 2017 - 2018 .
___________________________

Applicant SUBSCRIBE AND SWORN to before me this ___________ day of

_______________, 20 ___, affiant exhibiting to me his/her Community Tax Certificate No.
______________ issued on ____________ at _________________________________,
Philippines. ______________________________

Notary Public Until ______________________ PTR No. ______________________ Date

_______________________ Place _______________________ TIN
_______________________ Doc. No. _____________________ Page No.
_____________________ Book No._____________________ Series of
___________________