OMNIBUS CERTIFICATION AND VERACITY OF DOCUMENTS SUBMITTED

C E R T I F I C AT I O N

I, ________________________________________, of legal age, _________ [Civil Status],

____________[Nationality], and residing at _________________________________________
[Address of Teacher-Applicant], 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 requirements for Hiring Teacher I
position Based on the Reform Actions in Basic Education Sector Reform Agenda
(BESRA) is an authentic copy of the original, complete, and all statements and
information provided therein are true and correct;

2. I am authorizing the School Selection Committee or its duly authorized representative(s)

to verify all the documents submitted;

3. I am aware of and have undertaken the following responsibilities as a Teacher-Applicant:

a) Carefully examine all of the requirements for Hiring Teacher I position Based on the
Reform Actions in Basic Education Sector Reform Agenda (BESRA);

b) Acknowledge all conditions in the Revised Guidelines on Hiring Teacher I position

Based on the Reform Actions in Basic Education Sector Reform Agenda (BESRA) –
DepED Order No. 12, s. 2012;

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______________
2012 at ____________, Lapu-Lapu City, Philippines.

______________________________________
Signature Over Printed Name of the Teacher-Applicant

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