OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, Alexandrea Mae F. Duldulao, Filipino, of legal age, with permanent address at San Carlos,
Aliaga, Nueva Ecija, after being sworn in accordance with law, hereby depose and state that:

1. I am applying for a public elementary school teacher at San Carlos Elementary School, San
Carlos, Aliaga, Nueva Ecija;

2. I have submitted the following documents:

2.1 Letter of Intent

2.2 CSC Form 212 (revised 2017) in two copies with the latest 2x2 ID picture
2.3 Certified photocopy of PRC professional identification card
2.4 Certified photocopy of ratings obtained in the Professional Board
Examination for Teachers
2.5 Certified copy of transcript of records and Certificate of General
Weighted Average
2.6 Copies of service record / certificate of employment
2.7 Certificates of specialized trainings
2.8 Certified copy of Voter’s ID and /or any proof of residency
2.9 NBI Clearance

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

4. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I

hereby authorize the Department of Education, Division of Nueva Ecija, to verify the authenticity
of the abovementioned documents.

Alexandrea Mae F. Duldulao

Affiant

_______________________
Date

SUBSCRIBED AND SWORN to before me this _____ day of _____________ 2022, hereat Cabanatuan
City. Affiant exhibiting to me her PRC PIC (Professional Teacher) Registration No. 1648624. I certify
having personally examined the affiant who voluntarily executed and fully understood her affidavit.

Doc. No. _____

Page No. _____
Book. No. _____
Series of _____.