Republic of the Philippines

Department of Education
Region V Bicol Region
Schools Division of Camarines Sur

OMNIBUS SWORN CERTIFICATION

Republic of the Philippines
Division of Camarines Sur
Sto. Tomas High School)
Camaligan, Camarines Sur)

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)

A F F I D AVI T
I, RICARDO C. ATOLE, of legal age, married, Filipino, and residing at
_______________________________________, Camarines Sur, after having been duly sworn
in accordance with law, do hereby depose and state that:
1. I am qualified Teacher I applicant at Sto. Tomas High School;
2. I am executing this omnibus sworn certification to assure authenticity and veracity of
all documents submitted;
3. I assure full responsibility and accountability on the validity and authenticity of the
documents submitted and I understand that any violation will automatically disqualify
me from the selection process.
IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of January, 2015 at
Camaligan, Camarines Sur, Philippines.

RICARDO C. ATOLE
Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this 29th day of January, 2015. Affiant
exhibiting to me his ___________________________________________________________.

_________________________________

Republic of the Philippines

Department of Education
Region V Bicol Region
Schools Division of Camarines Sur

OMNIBUS SWORN CERTIFICATION

Republic of the Philippines
Division of Camarines Sur
Sto. Tomas High School)
Camaligan, Camarines Sur)

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)

A F F I D AVI T
I, IVY KAREN C. PRADO, of legal age, married, Filipino, and residing at #8 San Jose,
Camaligan, Camarines Sur, after having been duly sworn in accordance with law, do hereby
depose and state that:
1. I am qualified Teacher I applicant at Sto. Tomas High School;
2. I am executing this omnibus sworn certification to assure authenticity and veracity of
all documents submitted;
3. I assure full responsibility and accountability on the validity and authenticity of the
documents submitted and I understand that any violation will automatically disqualify
me from the selection process.
IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of January, 2015 at
Camaligan, Camarines Sur, Philippines.
IVY KAREN C. PRADO
Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this 29th day of January, 2015. Affiant
exhibiting to me her GSIS ID with CRN No. 006-0096-4349-1.

_________________________________

Republic of the Philippines

Department of Education

Region III Central Luzon

Schools Division of Tarlac Province
Moncada National High School
Moncada, Tarlac

ACKNOWLEDGEMENT RECEIPT

This is to acknowledge receipt of the following documents for Teacher I position

submitted by Ms./Mr./Mrs. ________________________________________, an applicant of
Moncada National High School, Moncada, Tarlac.
_____ CSC Form 212 (Revised 2005) in two copies with latest 2x2 ID picture.
_____ Certified photocopy of PRC Certificate of Registration/License.
_____ Certified photocopy of rating obtained in the Licensure Examination for Teachers/
Professional Board Examination for Teachers.
_____ Certified true copy of Transcript of Record for Baccalaureate.
_____ Copies of Service Record, Performance Ratings and School Clearance for those
with teaching experience
_____ Certificates of specialized trainings, if any
_____ Certified copy of Voters ID
_____ NBI Clearance
_____ Omnibus Certification of Authenticity and Veracity of all documents submitted
Issued this ______ day of ______________, 2012 at Moncada National High School,
Moncada, Tarlac.
___________________________________________
Chairman/Member of the School Selection Committee