OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY

OF ALL DOCUMENTS SUBMITTED

I, OMAIRA B. POLALA, Filipino, of legal age, with permanent address at
Poblacion, Poona-Piagapo Lanao del Norte, after being sworn in accordance with
law, hereby depose and state that:

 I am applying for TEACHER - 1 JUNIOR HIGH SCHOOL at

Position
POONAPIAGAPO CENTRAL INTEGRATED SCHOOL
School
POBLACION, POONA-PIAGAPO LANAO DEL NORTE
Address of School Province

2. I have submitted the following documents:

 Application Letter
 CSC Form 212 Revised 2017 (Personal Data Sheet) in two copies with the
latest 2x2 ID picture
 Certified Photocopy of Transcript of Record with the attached Photocopy of
General Weighted Average (GWA)
 Photocopy of Diploma
 Photocopy of Service Records or Certificate of Teaching Experience
 Photocopy of Ratings obtained in the Licensure Examination for Teachers
(LET) Professional Board Examination for Teachers (PBET)
 Certificates of Specialized training
 Photocopy of the Proof of Residency
 NBI Clearance
 Omnibus Certification of Authenticity and Veracity of all documents
submitted, signed by the applicant

Additional requirement for Senior High School applicants.

 NATIONAL CERTIFICATE (NC-II)
 TRAINING METHODOLOGY (TMC-I)

3. I am executing this Certification to attest to the authenticity and veracity of all

documents submitted.

4. I understand that any violation will automatically disqualify me from the selection
process.
5. By executing this Omnibus Certification of Authenticity and Veracity of all
Documents. I hereby authorize the Department of Education, Lanao Del Norte
through the School Head, to verify the authenticity of the above mentioned documents.

OMAIRA B. POLALA
Signature over printed name

SUBSCRIBED AND SWORN TO before me this __________ day of _____________,

2022, affiant exhibiting to me his/her PASSPORT No.___________ issued on _______