omnibus

1. OMNIBUS CERTIFICATION
OF AUTHENTICITY AND VERACITY OF DOCUMENTS
I, GLENDA C. VALEROSO, Filipino, of legal age, with permanent address at Km. 2,
Bagumbayan, Brgy. I. Mendiola, Siniloan, Laguna, after being sworn in accordance with law,
hereby depose and state that:
1. I am applying for Senior High School Teacher at GOV. FELICISIMO T. SAN
LUIS NATIONAL AGROINDUSTRIAL HIGH, Brgy. Kapatalan, Siniloan, Laguna.
2. I have submitted the following documents:
2.1 CSC Form 212 (revised 2017) 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 Laguna through the
School Principal, to verify the authenticity of the abovementioned documents.
Glenda C. Valeroso
Signature over printed name
Date
Position
School Address ofSchool