OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, JEMMALYN REIN VERTUDAZO, Filipino, of legal age, with permanent address at

PUROK LANZONES 1, SAN AGUSTIN NORTE, TANDAG CITY, SURIGAO DEL SUR, after
being sworn in accordance with law, hereby depose and state that:

1. I am applying for SENIOR HIGH SCHOOL TEACHER at BURGOS NATIONAL

HIGH SCHOOL, Burgos, Cortes, Surigao del Sur;

2. I have submitted the following documents:

2.1 CSC Form 212 (Revised 2017) in four copies with the latest 2x2 ID
Picture
2.2 Certified Photocopy of Relevant Specialized Training
2.3 Certified Photocopy of Certificate of Employment
2.4 Certificate Photocopy of Voter’s Certification
2.5 NBI Clearance
2.6 Certificate Photocopy of Transcript of Records
2.7 Certified Photocopy of diploma on Bachelor’s Degree
2.8 Certified Photocopy of General Weighted Average
2.9 Certified Photocopy of Evaluation Grade of Education Unit and
Master’s Earned Unit
2.10 Certified Photocopy of Additional and Updated Documents

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 authorized the Department of Education, Division of
Surigao del Sur, to verify the authenticity of the above mentioned documents.

JEMMALYN R. VERTUDAZO
Affiant

SUBSCRIBED AND SWORN to before me in Tandag City this _____ day of __________________
affiant exhibiting me his Community Tax Certificate No. _______________________________ at
Tandag City, Surigao del Sur, Philippines.