Republic of the Philippines

Department of Education
REGION VIII
SCHOOLS DIVISION OF LEYTE

OMNIBUS CERTIFICATION

THIS IS TO CERTIFY that I assume full responsibility as to the authenticity and

veracity of all documents that I have submitted. This also serves as a waiver on my part for
the use of personal information for ranking purpose.

Further, I fully understand that any misrepresentation on my part made on the

document/s that I submitted shall cause my DISQUALIFICATION from the Registry of
Qualified Applicants (RQA) for School Year 2021-2022.

Thank you!

Signature of Applicant:

Name of Applicant: ________________________

PRC ID NUMBER: _________________________

Address: ___________________________

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Government Center, Candahug, Palo, Leyte
(053) 888-3527
leyte.ro8@deped.gov.ph

Lead to Go, Love to Grow, Live to Glow . . .