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Omnibus Certification of Authenticity and Veracity of Documents

I, _______RODANTE I. DEVERA____, Filipino, of legal age, with permanent address at


_____Brgy. Soledad Mauban, Quezon________, after being sworn in accordance with law, hereby
depose and state that:

1. I am applying for ____Administrative III____ at ____Manuel S. Enverga Memorial


Schools of arts and trades______,
Position School

_______Mauban, Quezon______;
Address of School

2. I have submitted the following documents:


2.1 Letter of intent
2.2 Personal Data Sheet PDS (CS Form No. 212, Revised
2017) with work experience
2.3 Photo copy of Certificate of Eligibility/Rating/License/ID
2.4 Transcript of Record TOR
2.5 Photocopy of Service of Record or Certificate of
Employment
2.6 Photocopy Certificates of Training
2.7 Photocopy of Performance Rating
2.8 Omnibus

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 Rizal through the School Principal, to
verify the authenticity of the abovementioned documents.

Subscribed and sworn to before me this 18 th day of July, 2022 in the municipality of Mauban,
Province Quezon Philippines.

_____RODANTE I. DEVERA______
Signature over printed name

______July 18, 2022______


Date

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