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Omnibus

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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region V, Bicol
DIVISION OF MASBATE PROVINCE

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF


DOCUMENTS

I, ANGIE A. CAADLAWON, Filipino, of legal age with permanent address at


NABANGIG, PALANAS, MASBATE after being sworn in accordance with law, hereby
depose and state that:

1. I am applying for TEACHER 1 at NABANGIG CENTRAL SCHOOL,


Position School

NABANGIG, PALANAS, MASBATE, PALANAS, MASBATE


Address of School Municipality Province

2. I have submitted the following documents:

a) Application Letter addressed to the School Division Superintendent


b) CSC Form 212 (Revised 2015) in two copies with the latest 2x2 ID picture
c) Certified photocopy of PRC Professional Identification Card
d) Certified photocopy of ratings obtained in the Licensure Examination for
Teachers / Professional Board Examinations for Teachers
e) Certified copy of Transcript of Records (TOR)
f) Certificates of teaching experienced
g) Certificates of specialized training
h) Certified copy of Voter’s certificate as proof of my residency
i) NBI Clearance

3. I am executing this Certification to attest to the authenticity and veracity of all


documents submitted.

4. I understand that any violation will automatically disqualify me from the


selection process.

5. By executing this Omnibus Certification of Authenticity and Veracity of


Documents, I hereby authorize the Department of Education, Division of Cebu
Province through the School Principal, to verify the authenticity of the
abovementioned documents.

ANGIE A. CAADLAWON
Signature over printed name

_______________
Date

SUBSCRIBED AND SWORN TO before me this _____ day of _______________,


2020, affiant exhibiting to me his/her Community Tax Certificate No. 05289176 issued
on January 20, 2020 at Yati, Liloan, Cebu, Philippines.

Doc. No. __________


Page No. __________
Book No. __________
Series of __________

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