Republic of the Philippines

Province of Samar
Municipality of Calbiga
Omnibus Certification of Authenticity and Veracity of Documents

I, CHRISTINE NADINE C. LANCANAN , Filipino, of legal age, with

permanent address at #196 San Roque St. Brgy. 4, Calbiga W. Samar, after
being sworn in accordance with law, hereby depose and state that:
1. I am applying for

PDO1

Catbalogan City
Address

at

DepEd, City Division

Position

School/office

2. I have submitted the following documents:

2.1
2.2
2.3
2.4
2.5
2.6

Letter of Intent
Resume
Civil Service Rating
Transcript of Records
NSO Birth Certificate
Omnibus Certification of Authenticity and Veracity of
Documents Submitted

3. 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
Samar, to verify the authenticity of the abovementioned documents.

CHRISTINE NADINE C. LANCANAN

Signature over printed name

SUBSCRIBED AND SWORN TO before me this ___ day of October 2016 at

Calbiga, Samar.

Omnibus Certification of Authenticity and Veracity of

Documents
I, CRESEL ANGUE LEPITEN , Filipino, of legal age, with permanent address at
#13 San Vicente St. Brgy. 2 Calbiga W. Samar, after being sworn in accordance with
law, hereby depose and state that:
5. I am applying for

NURSE II

at
Position

Catbalogan City

DepEd, City Division

School

Address of School

6. I have submitted the following documents:

2.1
2.2

Certificate of Employment
PRC board certificate

2.3

PRC board rating

2.4

Transcript of Records

2.5

Training Attended

2.6

NSO Birth Certificate

2.7

Marriage Certificate

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

documents submitted.
8. By executing this Omnibus Certification of Authenticity and Veracity of
Documents,

I hereby authorize the Department of Education, Division of Samar

through the School Principal, to verify the authenticity of the abovementioned

documents.

CRESEL ANGUE LEPITEN

Signature over printed name

October 28, 2016

Date

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