Sworn Statement ERF

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Republic of the Philippines

Department of Education
Cordillera Administrative Region
SCHOOLS DIVISION OF KALINGA
Magtoma – Pangol National High School
Lay-asan, Tanudan, Kalinga

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify under oath that I have actually enrolled in the graduate
school listed in the accompanying transcript of records and that I have actually
earned the units indicated herein. As required, the Bureau of Public Schools has
been furnished with authentic copies of the sworn statement and its enclosure in
accordance with the provisions of Department Order No. 12, s. 1962, enclosures
to Memorandum No. 51, s. 1962.

____________________________
Signature of Teacher

SUBSCRIBED AND SWORN before me this ___________________


day of __________________, 2018 at Tabuk City, Kalinga, affiant exhibiting her
Residence Certificate No. __________________ issued at
_________________________ on ___________________.

_______________________
NOTARY PUBLIC

Doc. No. _____________


Page No. _____________
Book No. _____________
Series of ______________
Republic of the Philippines
Department of Education
Cordillera Administrative Region
SCHOOLS DIVISION OF KALINGA
Magtoma – Pangol National High School
Lay-asan, Tanudan, Kalinga

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify under oath that I have actually enrolled in the graduate
school listed in the accompanying transcript of records and that I have actually
earned the units indicated herein. As required, the Bureau of Public Schools has
been furnished with authentic copies of the sworn statement and its enclosure in
accordance with the provisions of Department Order No. 12, s. 1962, enclosures
to Memorandum No. 51, s. 1962.

____________________________
Signature of Teacher

SUBSCRIBED AND SWORN before me this ___________________


day of __________________, 2018 at Tabuk City, Kalinga, affiant exhibiting her
Residence Certificate No. __________________ issued at
_________________________ on ___________________.

LILY ANN A. FERNANDO


Administrative Officer - IV

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