Omnibus Certification of Authenticity and Veracity of Documents

Republic of the Philippines )

Province of ______________ )
City of _____________ ) SS

AFFIDAVIT
I, ________________, Filipino, of legal age, with permanent address at
_________________________ after being sworn in accordance with law, hereby depose
and state that:

1. I am applying for ______________ at Division of _____________________;

2. I have submitted the following documents:

2.1 CSC Form 212, Revised 2005 (Personal Data Sheet)

2.2 Training Certificates
2.3 Barangay Certificate
2.4 NBI Clearance
2.5 Certified photocopy of Diploma
2.6 Transcript of Records
2.7 TESDA National Certificates
2.8 Trainers Methodology Certificate
2.9 Employment Certificate

3. I assume 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;

4. I only applied in the ________________________.

5 I am executing this affidavit to attest to the truth of the foregoing, for whatever
legal purpose this may serve.

IN WITNESS WHEREOF, I have here unto set my hands this ______________ day
of _______________ at __________________________, Philippines.

_________________
Affiant

SUBSCRIBED AND SWORNED TO before this ________ day of ________________

at __________________________, Philippines, affiant exhibiting to me his UMID ID No.
______________________________.