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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 __HEAD TEACHER-________ position at Department


of Education-Division of Zamboanga del Sur;

2. I have submitted the following documents:

1.1 Equivalent Record Form for HT positions; Position Description


Form for Principal positions

1.2 Transcript of Records (TOR)

3.3 Service Record

1.4 Performance Rating Sheet for the last Three (3) Consecutive
Years

1.5 Designation Order as OIC/TIC /Dept. Head

1.6 Master Class Program for secondary

1.7 List of teachers under supervision with item numbers

1.8 Enrolment Data (Form 3) / SF 4

1.9 Copy of the latest post-audited PSIPOP wherein the names of


the teachers under supervision are reflected (for secondary)

2.0 Certification of no pending case

2.1 Certification of MOOE Liquidation

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. 0003605.

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


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

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, IVAN A. HAMLAG, 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.

IVAN A. HAMLAG
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.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__.

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