Republic of the Philippines

Department of Education
Region X
Division of Valencia City
Valencia City, Bukidnon

PERTINENT
PAPERS
FOR
NON-TEACHING
POSITION
KRIZZELLE MAE VERIALES
Applicant

Contact Number: 09074344901

Email: krizzellemae@gmail.com
 Republic of the Philippines
Department of Education
Region X
Division of Valencia City
Valencia City, Bukidnon

JESNAR DEMS S. TORRES, Ph.D., CESO V

Schools Division Superintendent
Division of Valencia City
Valencia City, Bukidnon

Dear Ma’am,

I have the honor to submit the following documents for my application for non-teaching
position.

A. Letter of Intent
B. CSC Form 212 (Revised 2017)
C. Photocopy of Certificate of Eligibility/Report of Rating/PRC License
D. Photocopy of Certificate of Transcript of Record and Diploma
E. Photocopy of Service Record
F. Photocopy of Certificate of Training
G. Photocopy of Performance Rating
H. Omnibus/ Sworn Statement
I. Checklist of Requirements

Please acknowledge receipt hereof. Thank you and more power.

Very Respectfully Yours,

KRIZZELLE MAE VERIALES

Applicant
 TABLE OF CONTENTS

Letter of Intent ……………………………………………………………………… A

CSC Form 212 (Revised 2017)……………………………………………………... B

Photocopy of Certificate of Eligibility/Report of Rating /PRC License …...…………C

Photocopy of Transcript of Record and Diploma ……………………………………. D

Photocopy of Service Record………………………………………………………… E

Photocopy of Certificate of Training …………………………….………….………. F

Photocopy of Performance Rating ……………………………………..……………. G

Omnibus/ Sworn Statement …………………………………………..………………. H

Checklist of Requirements……………………………………………………..……… I
CSC FORM
212

(Revised 2017)
Photocopy
of TOR &
Diploma
Omnibus
Sworn
Statement
Photocopy
of Service
Record
Photocopy of
Performance
Rating
Photocopy of
Certificate of
Training
Letter of
Intent
Omnibus/
Sworn
Statement
 Photocopy of
Certificate of
Eligibility/Report
of Rating/PRC
License
 Republic of the Philippines

Department of Education
Region X
Division of Valencia City
Valencia City, Bukidnon

OMNIBUS CERTIFICATION AUTHENTICITY AND VERACITY OF DOCUMENTS

I, KRIZZELLE MAE VERIALES, 26 years old, Filipino, Single and resident of Purok-6 ARFI
KAHAPONAN, VALENCIA CITY, after having been duly sworn to accordance with law, hereby
depose and state.

1. That I am applying for a non-teaching position at Division of Valencia City Bukidnon.

2. I am the owner of the following documents submitted to the school Screening Committee:

A. Letter of Intent
B. CSC Form 212 (Revised 2017)
C. Photocopy of Certificate of Eligibility/Report of Rating/PRC License
D. Photocopy of Certificate of Transcript of Record and Diploma
E. Photocopy of Service Record
F. Photocopy of Certificate of Training
G. Photocopy of Performance Rating
H. Omnibus/ Sworn Statement
I. Checklist of Requirements

3. Each of the documents submitted is in the satisfaction and compliance with the requirement for
recruitment set by the Department of Education.
4. Each document is an authentic copy of the original, complete and all data information therein is true
and correct to the best of my knowledge and beliefs;
5. I assume full responsibility and accountability on the validity and authenticity of the documents
submitted; and
6. By executing this OMNIBUS CERTIFICATIONAUTHENTICITY AND VERACITY OF
DOCUMENTS, I hereby authorize the Department of Education, School Division Office of
Valencia City through the School Head, to verify the Authenticity of the above mention documents.

KRIZZELLE MAE VERIALES

Signature Over Printed Name
 Republic of the Philippines
Department of Education
Region X
Division of Valencia City
Valencia City, Bukidnon

Pertinent
Papers for
Non-Teaching
Position

Name: Krizzelle Mae Veriales

Contact Number: 09074344901/09264659979
Email: krizzellemae@gmail.com
 Checklist
of Require-
ments