Omnibus Certification and Veracity
Omnibus Certification and Veracity
Omnibus Certification and Veracity
SUBMITTED
CERTIFICATION
I, _______________________________________, of legal age, ______________ [Civil
Status], __________________(Nationality), and residing at
_________________________________________ (Address of Teacher-Applicant), after
having been duly sworn in accordance with law, do hereby depose and state that:
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______________
2017 at ____________, General Santos City, Philippines.
___________ _____________________________
Signature Over Printed Name of the Teacher-Applicant
CERTIFICATION
(For Elementary and Junior High School)
_____ 1. CSC Form 212 (Revised 2005) in two copies with latest 2x2 ID picture
_____ 2. Certified photocopy of the PRC professional identification card
_____ 3. Certified photocopy of ratings obtained in the Licensure Examination for Teachers/
Professional Board Examination for Teachers
_____ 4. Certified copies of Transcript of Records
_____ 5. Copies of Service Record, Performance Rating and School Clearance for those with
teaching experience. If unavailable, a justification citing the reason/s for unavailability
_____ 6. Certificates of specialized training, if any
_____ 7. Certified copy of the Voters ID and/or any proof of residency
State: ___________________________________
_____ 8. NBI clearance
_____ 9. Omnibus certification of authenticity and veracity of all document submitted signed by the
applicant
___________ _____________________________
Signature Over Printed Name of the School Head