Republic Of The Philippines

DEPARTMENT OF EDUCATION
REGION IV-A
SCHOOL DIVISION OF QUEZON

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, LYKA B. EUBINA, Filipino, of legal age, with permanent address at Quezon Avenue
Ext Purok Bagong Lipunan Cotta Lucena City, after being sworn in accordance with law, hereby
depose and state that:

1. I am applying for Teacher I at Quezon National High School at Brgy. Ilayang Iyam,
Lucena City, Quezon.

2. I have submitted the following documents:

2.1 Letter of Application

2.2 CSC Form 212 (Revised 2017)
2.3 Certified copy of Transcript of Records
2.4 Certification of General Weighted Average
2.5 Certificate of Employment and Performance Rating
2.6 Certified copy of PRC Professional Identification Card
2.7 Certified copy of LET ratings
2.8 Certificate of specialized training
2.8 Certificate of Residency
2.9 NBI Clearance
2.10 Other proofs of outstanding accomplishments

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 Quezon, to verify the
authenticity of the abovementioned documents.

MS. LYKA B EUBINA

Affiant

SUBSCRIBED AND SWORN to before me, this 16th day of August 2022, by affiant who
exhibited to me her PRC ID No. 1881442, issued on February 9, 2021 valid until October 2,
2024, as proof of her identity.