OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY

OF DOCUMENTS

I, RALPH T. ARIBAN, Filipino, of legal age, with permanent address at B48 L35, Hibiscus
St., PH2 Capitol Hills Executive Subdivision, Brgy. Lapidario, Trece Martires City, Cavite, after
being sworn in accordance with law, hereby depose and state that:

1. I am applying for Junior High School Teacher 1 Position at Trece Martires City
National High School, Barangay San Agustin, Trece Martires City, Cavite;

2. I have submitted the following documents:

2.1 CSC Form 212 (revised 2005)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 Licensure Examination for
Teachers/ Professional Board Examination for Teachers
2.4 Certified copy of transcript of records
2.5 Copies of service record /certificate of employment, performance rating,
and school clearance for those with teaching experience
2.6 Certificates of specialized training, if any
2.7 Certified copy of Voter’s ID and /or any proof of residency as deemed
acceptable by the School Screening Committee
2.8 NBI Clearance

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

RALPH T. ARIBAN
Signature over printed name

SUBSCRIBED AND SWORN TO before me this ________ day of February, 2016, affiant
exhibiting his competent proof of identity as follows: ID: PRC ID No. , issued by the Philippine
Regulation Commission.