OMNIBUS SWORN CERTIFICATION

I, MARY JOY G. JARIOL, of legal age, married, Filipino, and residing at PUROK 7 , PHASE 1,
HABITAT, KALUBIHON, DALIPUGA,ILIGAN CITY, after having been duly sworn in accordance
with law, do hereby depose and state that:

1. I am Teacher-applicant of DALIPUGA NATIONAL HIGH SCHOPOL;

(Name of School)
2. I am executing this omnibus sworn certification to assure authenticity and veracity of all
documents 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 hands this 15th day of FEBRUARY 2023
at Iligan City, Philippines.

MARY JOY G. JARIOL

Printed Name and Signature of Applicant
....................................................................................................................................................................

Republic of the Philippines

Department of Education
Region X-Northern Mindanao
Schools Division of Iligan city

DALIPUGA NATIONAL HIGH SCHOOL

NORTH 1 DISTRICT

CERTIFICATION

To whom it may concern:

This is to certify that the Selection Committee of DALIPUGA NATIONAL HIGH SCHOOL
(Name of School)
has received the following documents from MARY JOY G. JARIOL
(Name of Applicant)
in support of his/her application for Teacher I position:

● Written application addressed to the Office of the Division Superintendent thru the School
Principal of the school in the place of residence
● CSC Form 212 (Revised 2017) in two copies with the latest 2 x 2” ID picture
● Certified photocopy of PRC Certificate of Registration/License
● Certified photocopy of rating obtained in the License Examination for Teachers/Professional
Board Examination for Teachers
● Certified true copy of Transcript of Record
● Copies of Service Record and Certificate of Employment
● Certificates of specialized training, if any
● Individual Performance Ratings three years back
● Omnibus Certification of authenticity and veracity of all documents submitted

Signed this _____ day of _________________, 2023 at Iligan City, Philippines.

_____________________________
Principal/Head Teacher/TIC
Chair, School Selection Committee
Address: Gen. Aguinaldo St., Iligan City
Telefax No.: (063) 221-6069
iligan.city@deped.gov.ph