Académique Documents
Professionnel Documents
Culture Documents
DEPARTMENT OF EDUCATION
Region XII
DIVISION OF XXXXXX
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that __________________________ receives the following documents of
______________________ for ranking of Teacher 1 applicants on __________________
___1. CSC form 212 (Revised 2017) in two copies with latest 2x2 ID picture
___3. Certified photocopy of ratings obtained in the Licensure Examination for Teacher/Professional Board
Examination for Teachers
___5. Copies of Service Record, Performance Rating and School Clearance for those with teaching experience.
If unavailable, a justification citing the reason/s for unavailability
State:____________________________
___9. Omnibus Certification of authenticity and veracity of all document submitted signed by the applicant
_________________________
Signature over Printed name of the School Head
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region XII
SCHOOL DIVISION OFFICE OF XXXXXXXXX
_______________________________________________________________________________________
That I understood well the DepEd Order (Hiring Guidelines for T1 position)
a) CSC form 212 (Revised 2017) in two copies with latest 2x2 ID picture
b) Certified photocopy of the PRC professional identification card
c) Certified photocopy of ratings obtained in the Licensure Examination for Teacher/Professional Board
Examination for Teachers
d) Certified copies of Transcript of Records
e) Copies of Service Record, Performance Rating and School Clearance for those with teaching
experience. If unavailable, a justification citing the reason/s for unavailability
f) Certificates of specialized training, if any
g) Certified copy of the Voter’s ID and/or any proof of residency as deemed acceptable by the School
Screening Committee
h) 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, SDO XXXXXXXX through the School Head, to verify the authenticity of
the abovementioned documents.
_________________________
Signature over printed name
__________________
Date