OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

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

__________________________________________________________, after being sworn in accordance
with law, hereby depose and state that:

1. I am applying for______________________ at ______________________________,

Position School

___________________________;
Address of School

2. I have submitted the following documents:

2.1 Transcript of Records
2.2 PRC license ID
2.3 PRC Verification
2.4 NBI Clearance
2.5 CSC form 211 (Medical Certificate)
2.6 NSO Birth Certificate
2.7 Statement of Assets, Liabilities and Networth (SALN)
2.8 BIR Form 1902 or 2305
2.9 Marriage Contract (if applicable)

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 ____________ through the School Principal,
to verify the authenticity of the above mentioned documents. http://depedtambayanph.blogspot.com/

___________________________
Signature over printed name

SUBSCRIBED AND SWORN TO before me this ________ day of ___________, 2019, affiant
exhibiting his/her competent proof of identity as follows: Identification Card No.
________________ issued by ________________________.