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1. RepublicofthePhilippines
DepartmentofEducation
REGION XI
SCHOOLS DIVISION OF DAVAO CITY
Address: Elpidio Quirino Avenue, Davao City
Telephone No: (082) 224-3274,(082) 222-1672
E-mail: davao.city@deped.gov.ph
OMNIBUS CERTIFICATION OF AUTHENTICITY AND
VERACITY OF DOCUMENTS
I, __________________________, Filipino, of legal age, _______(married/single)
with permanent address at _____________________________________________, after
having been duly sworn in accordance with law, hereby depose and state that:
1. I am applying for__________________ at _________________________,
Position School / Office
___________________________;
Address of School / Office
2. I am executing this Omnibus Sworn Certification to attest to the authenticity and
veracity of all documents I submitted;
3. I assume full responsibility and accountability on the validity and authenticity of
the documents submitted and I understand that any violation will automatically
disqualify me from the selection process.
IN WITNESS WHEREOF, I have hereunto set my hand this ________ of
day
________________, __________ at Davao City, Philippines.
month year
________________________
Signature over printed name
SUBSRIBE AND SWORN TO before me this _______ of _______________,
day month
________ with Affiant exhibiting to me his/her Community Tax No. ______________
year
issued on __________________ at __________________, Philippines.
date place of issue
________________________
Notary Public

2. RepublicofthePhilippines
DepartmentofEducation
REGION XI
SCHOOLS DIVISION OF DAVAO CITY
Address: Elpidio Quirino Avenue, Davao City
Telephone No: (082) 224-3274,(082) 222-1672
E-mail: davao.city@deped.gov.ph