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Omnibus Statement: (Localization Law)

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OMNIBUS STATEMENT

I _____________________________________, of legal age, ________________Filipino and residing at


_____________________________________________________, under oath, hereby depose and say:
1.That each of the documents submitted is an authentic and original copy or a true and faithful reproduction of
an original, complete and that all statements and information provided therein are true and correct;
2. That I am assuming full responsibility and accountability on the validity and authenticity of the documents
submitted;
3. That I am a Resident of Malabon City since ___________________ and aware of the RA No 8190
(Localization Law)
4. That I filed my application for Teaching Position in only one (1) school in this Division;
5. That in the exigency of the service, I am willing to be assigned in any public school within Malabon City
6. That I am authorizing the Chairman of the School Section Committee or its duty authorized representative(s)
to very document submitted;
7. That I am aware that any violation / dishonesty will automatically disqualify me from the selection process;
8. That I am making these statements as part of the recruitment requirements of a teacher applicant to the
Deparment of Education, Division of Malabon City for SY 2018-2019.

______________________________
Applicant

SUBSCRIBE AND SWORN to be me this ______day of _________________________,20____affliant


exhibiting to me his/her Community Tax Certificate No.________________ issued on ______________ at
________________________Philippines.

___________________
NOTARY PUBLIC
Until_____________
PTR No.__________
Date_____________
Place_____________
TIN______________
Doc No.____________
Page No.____________
Book No.____________
Series of_____________

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