Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE CITY

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS
TO WHOM IT MAY CONCERN:
I hereby certify is the AUTHENTICITY and VERACITY of the copies of the following
documents.
a. Letter of Intent
b. CSC Form 212 revised 2005 (Personal Data Sheet) 2 copies with latest 2x2 ID
picture
c. Certified copy of voter’s ID and/or any proof of residency
d. NBI clearance (unexpired)
e. Certified photocopy of PRC professional ID card/certificate of registration/license
(unexpired)
f. Certified photocopy of ratings obtained in the LET/PBET
g. Omnibus Certification
h. Certified photocopy of Diploma on Bachelor’s Degree
i. Certified photocopy of Transcript of Records with at least 15 units of
specialization in relevant strand / specialized subject
j. Certification of General Weighted Average (GWA)
k. Certified photocopy of certificates of relevant specialized trainings’ (2 days of
more)
l. Technical Education and Skills Development Authority (TESDA) National
Certificate NC
m. Certified photocopy of Trainer’s Methodology Certificate (TMC), if available

I further certify that all the statement and information provided therein are true and
correct this _________ day of ________________ at Masbate City, Masbate.

SHYRA MARIE B.
ALFONSO
Applicant

DECEMBER 22, 2021

Date

SUBSCRIBED AND SWORN to before me, this 22 day of December, 2021, affiant
issued at __________________, with the affiant exhibiting to me his/her Community Tax
Certificate No. ________ issued on ______________ at ______________, Masbate, Philippines.

__________________________
Notary Public

Doc No. _________

Page No. ________
Book No. ________

Address: Jolly T. Fernandez Avenue, City of Masbate, 5400

Contact No: (056) 3336142, 09388657680, 09508860381
Email Address: masbate.city@deped.gov.ph
Web: http://www.depedmasbatecity.com
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE CITY

Series of 2021

Address: Jolly T. Fernandez Avenue, City of Masbate, 5400

Contact No: (056) 3336142, 09388657680, 09508860381
Email Address: masbate.city@deped.gov.ph
Web: http://www.depedmasbatecity.com