Republic of the Philippines

Department of Education
REGION X
CITY SCHOOLS DIVISION OF OROQUIETA

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, PABLO B. ATACADOR, of legal age, single and residing at Purok 4,

Mansabay Bajo, Lopez Jaena, Misamis Occidental, hereby deposes and states
that:

Each of the documents I submitted as requirement for my application

for Teacher 1 position is an authentic copy of the original, and verified true
and correct, to wit:

a. CSC Form 212 (Revised 2017) in two copies with the latest 2 x 2 size
picture;
b. Certified photocopy of PRC ID
c. Certified photocopy of Certification of Board Rating
d. Certified photocopy of Transcript of Records
e. Certified photocopy of GWA Certification
f. Certified photocopy of the Certificate of Employment
g. Certified photocopy of Certificates of Trainings and Seminars
attended
h. Certified photocopy of Certificates of Achievements for the Portfolio
of Achievements
i. Certified photocopy of Voter’s ID
j. Certified photocopy of Barangay Clearance
k. Certified photocopy of NBI Clearance
l. Certified photocopy of English Proficiency Test Certificate of Rating

Signed this 11th day of March, 2022 at Misamis Occidental National

High School, Oroquieta City, Misamis Occidental.

PABLO B. ATACADOR
Signature Over Printed Name