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Omnibus Certification of Authenticity and Veracity of Documents

I, CRISTINE JANE L. MALES, Filipino, of legal age, with permanent address at PUROK 1, BACLAYON LANTAPAN,
BUKIDNON, after being sworn in accordance with law, hereby depose and state that:

1. I am applying for TEACHER I at BALILA ELEMENTARY SCHOOL,


Position School

BALILA LANTAPAN, BUKIDNON;


Address of School

2. I have submitted the following documents:


2.1 Transcript of Records
2.2 PRC license ID
2.3 PRC Verification
2.4 NBI Clearance
2.5
2.6
2.7 Statement of Assets, Liabilities and Networth (SALN)
2.8 BIR Form 1902 or 2305
2.9 Marriage Contract (if applicable)

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 through the School Principal, to verify the authenticity
of the abovementioned documents.

CRISTINE JANE L. MALES


Signature over printed name

____________________
Date
TABLE OF CONTENTS

A. LETTER OF INTENT ADDRESSED TO THE SCHOOLS


DIVISION SUPERINTENDENT

B. DULY ACCOMPLISHED PDS (CS FORM NO. 212, REVISED


2017 WITH WORK EXPERIENCE SHEET);

C. PHOTOCOPY OF CERTIFICATE OF ELIGIBIILITY/


RATING/LICENSE/ ID;

D. PHOTOCOPY OF SCHOLASTIC / ACADEMIC RECORD,


SUCH AS BUT NOT LIMITED TO TRANSCRIPT OF
RECORDS(TOR) AND DIPLOMA

E. PHOTOCOPY OF SERVICE RECORD OR CERTIFICATE OF


EMPLOYMENT, IF APPLICABLE;

F. PHOTOCOPY OF CERTIFICATE OF TRAINING, IF


APPLICABLE;

G.PHOTOCOPY OF LATEST PERFORMANCE RATING


COVERING ONE YEAR PERFORMANCE, IF APPLICABLE;

H.OMNIBUS SWORN STATEMENT;

I. CHECKLIST OF REQUIREMENTS; AND

J. OTHER DOCUMENTS

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