OMNIBUS CERTIFICATION AND VERACITY OF DOCUMENTS SUBMITTED

CERTIFICATION I, ________________________________________, of legal age, single/married/separated, Filipino, and residing at _________________________________________ [Address of TeacherApplicant] , after having been duly sworn in accordance with law, do hereby depose and state that: 1. Each of the documents submitted in satisfaction of the re uirements for !iring "eacher I position #ased on the $eform %ctions in #asic Education &ector $eform %genda '#E&$%( is an authentic copy of the original, complete, and all statements and information provided therein are true and correct) *. I am authori+ing the &chool &election ,ommittee or its duly authori+ed representative's( to verify all the documents submitted) -. I am aware of and have underta.en the following responsibilities as a "eacher/%pplicant: a( ,arefully e0amine all of the re uirements for !iring "eacher I position #ased on the $eform %ctions in #asic Education &ector $eform %genda '#E&$%() b( %c.nowledge all conditionsin the $evised 1uidelines on !iring "eacher I position #ased on the $eform %ctions in #asic Education &ector $eform %genda '#E&$%( 2 3epE3 4rder 5o. 1*, s. *61*) I5 7I"5E&& 7!E$E4F, I have hereunto set my hand this ____ day of _______________ *61* at ________________________, 8hilippines.

______________________________________
Signature Over Printed Name of the Teacher-Applicant

&9#&,$I#E3 %53 &74$5 "4 before me this ______ day of __________, *6___, affiant e0hibiting his/her competent proof of identity as follows: I3 : _____________ issued by __________________.