Omnibus-Affidavit_edited.final

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Revised as of February 2024

Republic of the Philippines)


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

ROSE I. ROPERO
I _______________________________, of legal age, single/married,
BANGAN, BANGA, AKLAN ,after having duly
with postal address at___________________________
sworn in accordance with law hereby depose and state:
DepEd
That I am presently employed with the __________________ as
TEACHER I
_______________________;

BANGAN ELEMENTARY SCHOOL


That I have been employed in ______________________________
JANUARY 3, 2020
since _____________________or 4 years
for a period of _______________;

That I was designated as coach of CHESS ELEMENTARY GIRLS 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
8th
_______ October
day of _____________________2024 in ________________________,
Kalibo, aklan
Philippines.

__________________________
ROSE I. ROPERO
Affiant

SUBSCRIBED and sworn to before me in KALIBO, AKLAN, this ____8th_


day_______of October 20_24__, affiant executing his/her DRIVERS LICENSE F08-
03-000847, issued at Kalibo, Aklan on October 8, 2024.

_________________________
Notary Public

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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