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OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, Mildred A. Sagandilan, Filipino, of legal age, with permanent address at


Sinangguyan Don Carlos, Bukidnon, after being sworn in accordance with
law, hereby depose and state that:

1. I am applying for Teacher 1 at Sinangguyan Elementary School, 


Position Name of School

Sinangguyan Don Carlos Bukidnon;


                             Address of School

2. I have submitted the following documents:

2.1 CSC Form 212 (revised 2017) in two copies with the latest 2x2 ID picture
2.2 Certified photocopy of PRC professional Identification Card
2.3 Certified photocopy of ratings obtained in the Professional Board Examination for
Teachers
2.4 Certified copy of Transcript of Records and Diploma
2.5 Copies of service record / certificate of employment
2.6 Certificates of specialized trainings
2.7 Certified copy of Voter’s ID and /or any proof of residency

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 Bukidnon, to
verify the authenticity of the abovementioned documents.

MILDRED A.
SAGANDILAN
Signature over printed name

__________________________
Date

SUBSCRIBED AND SWORN to before me in City / Municipality ____Don Carlos__this 26th


day of April 2023, affiant exhibiting to me his/her Community Tax Certificate No. ________
issued on ______________ at Don Carlos, Philippines.

__________________________
     Notary Public

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