1. OMNIBUS CERTIFICATE OF AUTHENTICITY AND
VERACITY OF ALL DOCUMENTS SUBMITTED
I, SHAIRA DAWN MAE D. CORSIGA , married, 27 years old and a resident of Gentiles
Subdivision, New Visayas, Panabo City, after having been duly sworn to in accordance with
law, depose and state that:
1. I am an applicant for Teacher 1 position with the Department of Education;
2. Correspondingly, I have caused the submission and production of the following
documents necessary for the said application:
CSC Form 212
Photocopy of Transcript of Records;
Photocopy of Diploma on Bachelor’s Degree;
Photocopy of Certificates of Training;
Photocopy of CAV;
Photocopy of LET Rating;
Photocopy of Professional Identification Card;
Photocopy of Certification of Status of Employment/ Service Record
Photocopy of NBI Clearance;
3. I have caused the reproduction of the above-listed documents and I hereby certify the
faithful reproduction of the true and original documents issued by the appropriate office;
4. I hereby certify that the contents appearing therein are true and correct to the best of my
personal knowledge and based on authentic records;
5. I am executing this affidavit to attest to the truth of the foregoing, to inform the proper
authorities of the same and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 5th day of January
2017 at Panabo City, Philippines.
SHAIRA DAWN MAE D. CORSIGA
Affiant
SUBSCRIBE AND SWORN TO before me this __________, affiant exhibiting to me
her Community Tax Certificate No.__________ issued on________ at Panabo City, Philippines.
___________________
Notary Public
