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 Transcript of Records
2.2 PRC license ID
2.3 PRC Verification
2.4 NBI Clearance
2.5 CSC form 211 (Medical Certificate)
2.6 NSO Birth Certificate
2.7 Statement of Assets, Liabilities and Networth (SALN)
2.8 BIR Form 1902 or 2305
2.9 Marriage Contract (if applicable)
3. I am executing this Certification to attest to the authenticity and veracity of all
documents submitted.
4. By executingthis OmnibusCertificationofAuthenticityand Veracity of Documents,
I hereby authorize the Department of Education, Division of ____________ through
the School Principal, to verify the authenticity of the abovementioneddocuments.
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___________________________
Signature over printed name
____________________
Date
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