Table of Contents

A.Endorsement from School/ District

B. 4 Copies of Duly Accomplished ERF
C. Updated Service Record
D. Certified true-copy of TOR w/ CAV and SO
E. IPCRF for the last 3 Rating Period
F.CS FORM 212 Revised 2017 (Personal Data Sheet)
G. Latest Appointment
H. Certificates/ Seminars
I. Updated PRC License ID
J. LET Ratings
K. Omnibus Certification

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, LIEZLE MARIE Y. ALMADEN, Filipino, of legal age, with permanent address

at ZONE 8 BLOCK 9, BRGY. FATIMA, GENERAL SANTOS CITY at under oath,
hereby depose and state that:
 1. That each of the documents 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. That I am assuming full responsibility and accountability on the validity and

authenticity of the documents submitted;

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

4. That I am making these statements as part of the requirement for my ERF

application to the Department of Education- Division of General Santos City,
General Santos City, South Cotabato.

LIEZLE MARIE Y. ALMADEN

Applicant

SUBSCRIBE AND SWORN to before me this 19th day of MAY , 20

22 , affiant exhibiting to me his/ her Community Tax Certificate No. 27168475 issued
on BRGY. FATIMA at GENERAL SANTOS CITY , Philippines.

_________________________
Notary Public

Until ________________
PTR No. ________________
Date ________________
Place ________________
TIN ________________

Doc. No. _______________________

Page No. _______________________
Book No. _______________________