Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
Division of Agusan del Sur

OMNIBUS CERTIFICATION OF AUTHENTICITY

AND VERACITY OF DOCUMENTS SUBMITTED

I, SHARLENE JANE CHAVEZ ELECCION, 25 years of age, Filipino, single, and residing at P-3
Patin-ay, Prosperidad, Agusan del Sur, hereby certify under oath that the copies of the following documents are
true faithful reproduction of the original documents which are all in my possession, to wit:

I am applying for Teacher 1 (Junior High School) at Agusan del Sur Division, Agusan del Sur.

I have submitted the following documents:

1. Application Letter
2. CSC Form 212 (Revised 2017)
3. Certified photocopy of LET ratings
4. Certified copy of TOR
5. Certified photocopy of Grade Point Average (GPA)
6. Certified copies of service records, performance ratings, and school clearance
7. Certificates of specialized trainings
8. Certified copy of residency and barangay clearance
9. Certified photocopy of NBI Clearance
10. Omnibus certification of authenticity and veracity of all documents

I hereby certify that the copies of the above-mentioned documents are correct, true, accurate, authentic,
and duly executed in accordance with the law.

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of March 2021 at Patin-ay,
Prosperidad, Agusan del Sur.

SHARLENE JANE CHAVEZ ELECCION

Affiant

SUBSCRIBED AND SWORN to before me on this 9 th day of March 2021 Patin-ay,

Prosperidad, Agusan del Sur, Philippines, affiant exhibiting his/her competent proof of identity as follows: ID #
1621308 issued by the Professional Regulation Commission.

I hereby certify that upon comparison, the copies of the aforementioned documents are true and
faithful reproduction of the original copies in the possession of Sharlene Jane Chavez Eleccion.