Omnibus
Omnibus
Omnibus
DEPARTMENT OF EDUCATION
Region III-Central Luzon
Tarlac City School Divission
I, LEO GUSTO BALAGTAS, of legal age, single, Filipino and a resident of Barangay Maruglo,
Capas, Tarlac, after being duly sworn to in accordance with the law, hereby depose and state that.
1. I am qualified applicant for Elementary School Teacher 1 at Department of Education Division Office,
Province of Tarlac.
2. I am executing this omnibus sworn certification to assure the authenticity and veracity of all documents
submitted.
I have submitted the following documents:
Letter of Intent
Personal Data Sheet or CSC form 212 (revised 2017) Properly Accomplished
Certified Photocopy of Professional Identification Card issued by the PRC
Board Rating for Professional teachers issued by the PRC
Certified Photocopy of Transcript of Record issued by the TSU
Certified Photocopy of General Weighted Average. (GWA)
Certification of Confirmation Issued by National Commission on Indigenous
People (NCIP)
National Certificate II issued by TESDA
Certificate of Incumbency issued by DILG
Certificate of Service Record issued by Concepcion Modern Child School Inc.
Certificate of Employment issued by Concepcion Modern Child School Inc.
Certificate of Appearance issued by United Nations Association of the Philippines
Certificate of Recognition issued by Tarlac State University (DECAGON)
Certificate of Completion issued by Tarlac State University (Experiential
Learning)
Certificate of Recognition issued by Tarlac State University (TRIPAD)
Certificate of Participation issued by Presidential Commission for the Urban Poor
Certification of Participation issued by DILG “Youth Task Force”
Certification of Participation issued by Department of Education Region III “Regional
Training-Workshop On Indigenous Peoples Education Cultural Standards”
Certification of Participation issued by Municipality of Capas, DILG, PDEA and PNP
(BADAC)
Certificate of Employment issued by Public Employment Service Office (PESO)
Voters Certification issued by
Diploma
NBI Clearance
LEO G. BALAGTAS
Affiant
SUBSCRIBE AND SWORN to before me this January 29, 2019 at the Municipality of Capas,
Province of Tarlac, Philippibnes
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region III-Central Luzon
Tarlac City School Divission
AFFIDAVIT
I, LEO GUSTO BALAGTAS, of legal age, single, Filipino and a resident of Barangay Maruglo,
Capas, Tarlac, after being duly sworn to in accordance with the law, hereby depose and state that.
3. I am qualified applicant for Elementary School Teacher 1 at Department of Education Division Office,
Province of Tarlac.
4. I am executing this omnibus sworn certification to assure the authenticity and veracity of all documents
submitted.
I have submitted the following documents:
Letter of Intent
Personal Data Sheet or CSC form 212 (revised 2017) Properly Accomplished
Certified Photocopy of Professional Identification Card issued by the PRC
Board Rating for Professional teachers issued by the PRC
Certified Photocopy of Transcript of Record issued by the TSU
Certified Photocopy of General Weighted Average. (GWA)
Certification of Confirmation Issued by National Commission on Indigenous
People (NCIP)
National Certificate II issued by TESDA
Certificate of Incumbency issued by DILG
Certificate of Appearance issued by United Nations Association of the Philippines
Certificate of Recognition issued by Tarlac State University (DECAGON)
Certificate of Completion issued by Tarlac State University (Experiential
Learning)
Certificate of Recognition issued by Tarlac State University (TRIPAD)
Certificate of Participation issued by Presidential Commission for the Urban Poor
Certification of Participation issued by DILG “Youth Task Force”
Certification of Participation issued by Department of Education Region III “Regional
Training-Workshop On Indigenous Peoples Education Cultural Standards”
Certification of Participation issued by Municipality of Capas, DILG, PDEA and PNP
(BADAC)
Certificate of Employment issued by Public Employment Service Office (PESO)
Voters Certification issued by Comelec
Diploma
NBI Clearance
LEO G. BALAGTAS
Affiant
SUBSCRIBE AND SWORN to before me this January 08, 2019 at the Municipality of Capas,
Province of Tarlac, Philippibnes