4.-Omnibus-Affidavit (1)

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Revised as of April 3, 2023

Republic of the Philippines)


City of Olongapo)S.S.

OMNIBUS AFFIDAVIT
(for Public and Private Personnel)

I MICHAEL A. RIVERO, of legal age, single/married, with


postal address at OLONGAPO CITY ,after having duly sworn in
accordance with law hereby depose and state:

That I am presently employed with the JLGIS as TEACHER I;

That I have been employed in _______JLGIS___________ since


______2020_______or for a period of 4 YEARS;

That I was designated as coach of ARNIS, who will participate


in the School Sports activities of the Department of Education up to
2025 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___ day of _Octobert___20__ in __Olongapo City___, Philippines.

__________________________
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)

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy