OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, ________________________, Filipino, of legal age, married, with permanent address at

____________________, Zamboanga del Sur after being sworn in accordance with law, hereby depose
and state that:

1. I am applying for a ___________ position at Department of Education-Division of

Zamboanga del Sur;

2. I have submitted the following documents:

1. Equivalent Record Form

2. Transcript of Records (TOR) authenticated by issuing school
3. Service Record
4. Performance Rating (IPCRF)
5. Position Description Form (Form1)

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 Zamboanga del Sur, to verify the
authenticity of the abovementioned documents.

___________________
___________________

SUBCRIBED AND SWORN TO before me this _________________ in Pagadian

City, Philippines, affiant exhibiting to me his/her Professional Regulation Commission (PRC)
Identification Card No. _________.

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 20__.
 OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, __________________________, Filipino, of legal age, single, with permanent address at Brgy

Lourmah, Mahayag, Zamboanga del Sur after being sworn in accordance with law, hereby depose and
state that:

1. I am applying for a Teacher III position at Department of Education-Division of

Zamboanga del Sur;

2. I have submitted the following documents:

2.1 Equivalent Record Form

2.2 CSC Form 212 (revised 2005) w/ latest 2x2 ID picture;
2.3 Transcript of Records (TOR)
2.4 PRC License
2.5 Service Record
2.6 Latest Appointment
2.7 Permit to Study
2.8 Performance Rating (IPCRF)
2.9 Marriage Contract

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 Zamboanga del Sur, to verify the
authenticity of the abovementioned documents.

___________________
___________________

SUBCRIBED AND SWORN TO before me this 30th day of August 2016 in Pagadian

City, Philippines, affiant exhibiting to me his/her Professional Regulation Commission (PRC)
Identification Card No.1063263.

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 20__.

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

 I, MARIBETH P. ARTIAGA, Filipino, of legal age, married, with permanent address at Roxas
St., Poblacion Mahayag, Zamboanga del Sur after being sworn in accordance with law, hereby depose
and state that:

1. I am applying for a Teacher III position at Department of Education-Division of

Zamboanga del Sur;

2. I have submitted the following documents:

2.1 Equivalent Record Form

2.2 CSC Form 212 (revised 2005) w/ latest 2x2 ID picture;
2.3 Transcript of Records (TOR)
2.4 PRC License
2.5 Service Record
2.6 Latest Appointment
2.7 Permit to Study
2.8 Performance Rating (IPCRF)
2.9 Marriage Contract

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 Zamboanga del Sur, to verify the
authenticity of the abovementioned documents.

MARIBETH P. ARTIAGA
August 30, 2016

SUBCRIBED AND SWORN TO before me this 30th day of August 2016 in Pagadian

City, Philippines, affiant exhibiting to me his/her Professional Regulation Commission (PRC)
Identification Card No. 0956167.

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 20__.

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

 I, ____________________, Filipino, of legal age, married, with permanent address at
____________________, Zamboanga del Sur after being sworn in accordance with law, hereby depose
and state that:

5. I am applying for a __TEACHER II___ position at Department of Education-Division

of Zamboanga del Sur;

6. I have submitted the following documents:

2.1 Equivalent Record Form

2.2 CSC Form 212 (revised 2005) w/ latest 2x2 ID picture;
2.3 Transcript of Records (TOR)
2.4 Service Record
2.5 Performance Rating (IPCRF)
2.6 Latest Appointment
2.7 Marriage Contract

7. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.

8. By executing this Omnibus Certification of Authenticity and Veracity of Documents,

I hereby authorize the Department of Education, Division of Zamboanga del Sur, to
verify the authenticity of the abovementioned documents.

___________________
___________________

SUBCRIBED AND SWORN TO before me this _________________ in Pagadian

City, Philippines, affiant exhibiting to me his/her Professional Regulation Commission (PRC)
Identification Card No. _________.

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 20__.

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS