OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, GERRY CEL E. CORPUZ, Filipino, of legal age, with permanent adress at Punit, Benito Soliven,
Isabela, hereby depose and state that:

1. Each of the following document submitted is an authentic and original copy or a true and
faithful reproduction of the original, complete and that all statements and information provided
therein are true and correct;

2. I am assuming full responsibility and accountability on the validity and authenticity of the
documents submitted;

3. I am aware that any violation will automatically disqualify me from the assessment
process;

4. I am making these statements as part of the requirement for Master Teacher I Assessment
to the Department of Education, Division of Isabela.

_______________________
Applicant

SUBSCRIBE AND SWORN to before me this ______ day of ____________, 20____ affiant exhibiting to
me his/her Community Tax Certificate No. ____________issued on _______________________

At ________________________________, Philippines.

______________________
Notary Public

Until _________________________
PTR. No. ______________________
Date _________________________
Place _________________________
Tin __________________________

Doc No. _______________________

Page no. _______________________
Book No. ______________________
 OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, LORDELYN C. CORPUZ, Filipino, of legal age, with permanent adress at Zone III, San Mariano
Isabela, hereby depose and state that:

1. Each of the following document submitted is an authentic and original copy or a true and
faithful reproduction of the original, complete and that all statements and information provided
therein are true and correct;

2. I am assuming full responsibility and accountability on the validity and authenticity of the
documents submitted;

3. I am aware that any violation will automatically disqualify me from the assessment
process;

4. I am making these statements as part of the requirement for Principal II Assessment to

the Department of Education, Division of Isabela.

_______________________
Applicant

SUBSCRIBE AND SWORN to before me this ______ day of ____________, 20____ affiant exhibiting to
me his/her Community Tax Certificate No. ____________issued on _______________________

At ________________________________, Philippines.

______________________
Notary Public

Until _________________________
PTR. No. ______________________
Date _________________________
Place _________________________
Tin __________________________

Doc No. _______________________

Page no. _______________________
Book No. ______________________