Omnibus certification-of-authenticity-and-ver

1. OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS
I, _______________________________, Filipino, of legal age, with permanent address at
__________________________________________________________, after being sworn in
accordance with law, hereby depose and state that:
1. I am applying for ______________________ at ______________________________,
Position School
___________________________;
Address ofSchool
2. I have submitted the following documents:
2.1 CSC Form212 (revised2005) in twocopieswiththe latest2x2 ID picture
2.2 Certifiedphotocopyof PRCprofessional identificationcard
2.3 Certifiedphotocopyof ratingsobtainedinthe Licensure Examinationfor
Teachers/Professional BoardExaminationforTeachers
2.4 Certifiedcopyof transcriptof records
2.5 Copiesof service record/certificate of employment, andschool
clearance forthose withteachingexperience
2.6 Certificatesof specializedtraining,if any
2.7 Certified copyof Voter’sIDand/or anyproof of residencyasdeemed
acceptable bythe School ScreeningCommittee
2.8 NBIClearance
3. I am executing this Certification to attest to the authenticity and veracity of all
documents submitted.
4. By executingthis OmnibusCertificationofAuthenticityandVeracity of Documents,
I hereby authorize the Department of Education, Division of Rizal through the School Principal, to
verify the authenticity of the abovementioned documents.
___________________________
Signature over printed name
____________________
Date