Republic of the Philippines

DEPARTMENT OF EDUCATION
Cordillera Administrative Region
DIVISION OF BAGUIO CITY

OMNIBUS SWORN CERTIFICATION

Republic of the Philippines
)
Division of Baguio City
)
Quezon Hill National High School)
Baguio City
A F F I D AVI T
I, KARRI ANN TONEL, of legal age, single, Filipino, and residing at 139 CHROME
ST. UPPER QUEZON HILL, BAGUIO CITY, after having been duly sworn in accordance
with law, do hereby depose and state that:
1. I am qualified Teacher I applicant at Baguio City National 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 ____ day of
_____________, 2015 at Baguio City, Benguet, Philippines.

_________________________________
Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this ______ day of __________________,

2015. Affiant exhibiting to me his/her Community Tax Certificate No. _____________________
issued on _________________, at _____________________________, Philippines.

_________________________________

Republic of the Philippines

DEPARTMENT OF EDUCATION
Cordillera Administrative Region
DIVISION OF BAGUIO CITY

ACKNOWLEDGEMENT RECEIPT

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

submitted by Ms. KARRI ANN S. TONEL, an applicant of Baguio City National High School,
Baguio City.
_____ 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 ______________, 2015 at Baguio City National High School,
Baguio City.
___________________________________________
Chairman/Member of the School Selection Committee