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    Omnibus-Affidavit v2024

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    rnasilo-an

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    Omnibus-Affidavit v2024

    Uploaded by

    rnasilo-an
    2 views1 page

    Original Title

    Omnibus-Affidavit_v2024

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    2 views1 page

    Omnibus-Affidavit v2024

    Uploaded by

    rnasilo-an

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Revised as of February 2024

    Republic of the Philippines)


    KIDAPAWAN
    City of ___________________)S.S.
    OMNIBUS AFFIDAVIT
    (for Public and Private Personnel)

    I _______________________________,
    FELIX FRANCIS DERRAYAL of legal age, single/married,
    Poblacion, Makilala, Cotabato ,after having duly
    with postal address at___________________________
    sworn in accordance with law hereby depose and state:
    NDKC-IBED
    That I am presently employed with the __________________ as
    Basketball Coach
    _______________________;

    NDKC-IBED
    That I have been employed in ______________________________
    JULY 30, 2024
    since _____________________or for a period of _______________________;
    2 YEARS & MONTHS

    That I was designated as coach of 3X3 Basketball Secondary,


    who will participate in the School Sports activities of the Department
    of Education up to 20__25 Palarong Pambansa;

    That I will perform my duties and responsibilities in


    accordance with DepEd Rules and Policies for the benefit of the
    students athletes under my care and custody.
    That all the athletes are not members of the National Team,
    National Training Pool, and Development Pool of the Philippine
    Sports Commission (PSC);
    That all the athletes records submitted are true and correct to
    the best of my personal knowledge;
    Further, I authorize the personnel of Department of Education
    to collect, process, retain, and dispose of my personal information in
    accordance with the Data Privacy Act of 2012.
    That I execute this Affidavit to attest to the authenticity and
    veracity of all the documents submitted.
    IN WITNESS WHEREOF, I have hereunto set my hand this
    _______ November
    13th day of _____________________2024 in ________________________,
    KIDAPAWAN
    Philippines.

    __________________________
    RENATO JR. B. NASILO-AN
    Affiant

    SUBSCRIBED and sworn to before me in ______________, this day


    ____________of month 20___, affiant executing his/her ____________
    ___________, issued at _________ on _____________.

    _________________________
    Notary Public

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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