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OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, _______________________________, Filipino, of legal age, with permanent address at


__________________________________________________________,

after

being

sworn

in

accordance with law, hereby depose and state that:


1.

I am applying for ______________________ at ______________________________,


Position

School

___________________________;
Address of School

2.

3.

I have submitted the following documents:


2.1

Transcript of Records

2.2

PRC license ID

2.3

PRC Verification

2.4

NBI Clearance

2.5

CSC form 211 (Medical Certificate)

2.6

NSO Birth Certificate

2.7

Statement of Assets, Liabilities and Networth (SALN)

2.8

BIR Form 1902 or 2305

2.9

Marriage Contract (if applicable)

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

documents submitted.
4.

By executing this Omnibus Certification of Authenticity and Veracity of Documents,

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

___________________________
Signature over printed name

____________________
Date