OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, RECCA GORNE SUMAYA, Filipino, of legal age, with permanent address at MATALOM,
LEYTE, after being sworn in accordance with law, hereby depose and state that:

1. I am applying for Teacher 1 position at Maasin City National High School, Brgy. Combado,
Maasin City, Southern Leyte.

2. I have submitted the following documents:

2.1 Letter of Intent addressed to the School Division Superintendent

2.2 CSC Form 212 (revised 2017) in two copies with latest 2x2 I.D picture
2.3 Certified photocopy of Eligibility/Rating/License I.D obtained in the Professional Board
Examination for Teachers
2.4 Certified copy of transcript of records
2.5 Copies of service record / certificate of employment
2.6 Certificates of specialized trainings

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 Maasin City to verify the authenticity of
the above-mentioned documents.

RECCA G. SUMAYA
Signature over printed name

Date

SUBSCRIBED AND SWORN to before me in City / Municipality Maasin City this _____ day of
February, 2023, affiant exhibiting to me his/her Community Tax Certificate No.21910631
issued on February 7, 2023 at Maasin City, Philippines.

__________________________
Notary Public