OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, Princess Camille T. Dela Peña, Filipino, of legal age, with permanent address at Dulong Ilog, Candaba, Pampanga,
after being sworn in accordance with law, hereby depose and state that:

1. I am applying for Secondary School – Teacher III teaching position at Talang National High School,
Position Name of School
Candaba, Pampanga;
Address of School

2. I have submitted the following documents:

2.1 Application letter stating the position applied for;

2.2 Omnibus certification of authenticity and veracity of documents duly notarized;

2.3 Copy of latest approved Appointment/ Copy of transmittal to CSC;

2.4 CSC Form 212-Revised 2017 (with active contact number and email address);

2.5 Transcript of Records (authenticated by the issuing school);

2.6 Service Record;

2.7 Signed and Approved Performance Ratings for the last three rating periods prior screening
should be at least VS;

2.8 Documents for claims on leadership, potentials, and accomplishments; and

2.9 Other documents relevant to the position applied for.

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 Pampanga, to verify the authenticity of the above-mentioned documents.

__________________________________
Signature over Printed Name

_________________________________
Date

SUBSCRIBED AND SWORN to before me in City/Municipality __________________ this ________________ day of

________________ , 2024, affiant exhibiting to me his/her_____________________. ____________________
issued on _________________ at _______________________________________, Philippines.