OMNIBUS CERTIFICATION OF AUTHENTICITY AND

VERACITY OF DOCUMENTS

I, __________________________, Filipino, of legal age, _______(married/single)

with permanent address at _____________________________________________,
after having been duly sworn in accordance with law, hereby depose and state that:

1. I am applying for__________________ at _________________________,

Position School / Office

___________________________;
Address of School / Office

2. I am executing this Omnibus Sworn Certification to attest to the authenticity and

veracity of all documents I submitted;

3. I assume 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 ________ of

day

________________, __________ at ______________________________, Philippines.

month year place

________________________
Signature over printed name

SUBSRIBE AND SWORN TO before me this _______ of _____________,

day month

________ with Affiant exhibiting to me his/her Community Tax No. ______________

year

issued on __________________ at _____________________________, Philippines.

date place of issue

________________________
Notary Public
Date