Omnibus Certification of Authenticity and Veracity of Documents

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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. That I am applying for ____________________ at _________________________,


Position Name of School

______________________________;
Address of School

2. I have submitted the following documents:

2.1 Omnibus Certification of Authenticity and Veracity of Documents


2.2 CSC Form 212 (revised 2017) Personal Data Sheet
2.3 Updated Service Record / Certificate of Employment
2.4 Certificate of Eligibility
2.5 PRC License
2.6 Board Rating
2.7 Performance Rating for the last 3 Rating Periods (numerical rating)
2.8 Copy of Last Approved Appointment
2.9 Transcript of Records/ Special Order
2.10 Certificate of Relevant Trainings/ Seminar Attended
2.11 Other documents relevant to the position applied for

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 Catanduanes through the School Principal/
Division Screening Committee to verify the authenticity of the above mentioned documents.

__________________________
Signature over printed name

__________________________
Date

______________________________________________________________________________

Subscribed and sworn to before me this _____ day of ________, 2021 affiant exhibiting to me his/her
Community Tax Certificate No. ___________issued on ______________ at ________________,
Catanduanes, Philippines.

__________________________
Notary Public

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