OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS
I, JEAN CINCO., Filipino, of legal age, with permanent address at Himatagon, Saint Bernard,
6616, Southern Leyte, Philippines, after being sworn in accordance with law, hereby depose
and state that:

1. I am applying for Teacher I at New Guinsaugon National High School, Saint

Bernard-District I, Southern Leyte-Division;
2. I have submitted the following documents:
2.1 Application Letter
2.2 CSC form 212 (revised 2017) copy with the latest passport size ID picture
2.3 Certified photocopy of PRC Professional Identification Card (PIC)
2.4 Certified copy of Official Transcript of Records
2.5 Certified copy General Weighted Average
2.6 Certificates of specialized trainings
2.7 Certificates of Seminars/Training
2.8 Certified copy of Voters certification and/ or any proof of residency as
deemed acceptable by the School Screening Committee
2.9 NBI clearance

3. I am executing this Certification to attest to the authenticity and veracity of all

documents submitted.
4. I assure full responsibility and accountability on the validity and authenticity of
the documents submitted and I understand that any violations will automatically
disqualify me from the selection process.
5. That I am making these statements as part of the requirements of teacher
application to the Department of Education, Division of Southern Leyte for S.Y
2020- 2021.

IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of

___________ at _________________________________Philippines.

JEAN CINCO
Applicant
PRC ID NUMBER: 1684555

SUBSCRIBE AND SWORN TO before me this ________ day of ___________2021, affiant exhibiting to
me his/her Community Tax Certificate ___________on March ___ 2021 at Himatagon, Saint
Bernard, Southern Leyte

Notary Public