OMNIBUS SWORN CERTIFICATION

Republic of the Philippines )
Division of Tarlac Province )
Moncada National High School)
Moncada, Tarlac

A F F I D A V I T

I, ___________________________, of legal age, (married/single)______________Filipino, and residing at

_________________________________________________, afterhaving been duly sworn in accordance
with law, do hereby depose and state that:

1. I am qualified Teacher I applicant at Moncada National High School.

2.I am executing this omnibus sworn certification to assure authenticity and veracity of all documents
submitted;

3. I assure full responsibility and accountability on the validity and authenticity of the documents submitted
and I understand that any violation will automatically disqualify me from the selection process.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ____________, 2012 at
Moncada, Tarlac, Philippines.

_________________________________
Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this ______ day of __________________,2012.

Affiant exhibiting to me his/her Community Tax Certificate No. _____________________issued on
_________________, at _____________________________, Philippines.