Republic of the Philippines )

Tabuk City, Kalinga ) s.s.

OMNIBUS CERTIFICATION

THIS IS TO CERTIFY UNDER OATH that the following documents are the faithful
reproduction of the original copy as follows, to wit:

1. Application Letter;
2. CSC Form 212 (Revised 2017) in two (2) copies with the latest 2”x2” ID Pictures;
3. A photocopy of PRC Certificate of Registration/License;
4. A photocopy of ratings obtained in the Licensure Examination for Teachers (LET);
5. A photocopy of Transcript of Records from Kalinga State University (KSU)
Bulanao, Tabuk City, Kalinga;
6. Photocopies of specialized trainings and seminars;
7. A photocopy of Voter’s Certification Card issued by the COMELEC Tabuk;
8. A photocopy of Certificate of Confirmation for Indigenous People; and
9. A photocopy of National Bureau of Investigation (NBI) Clearance.

Signed this _______________________, at Tabuk City, Kalinga, Philippines.

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Affiant

SUBSCRIBED AND SWORN TO before me this ____________________, in

Bulanao, Tabuk City, Kalinga, Philippines, by the affiant who exhibited her I.D. No. 1637685
issued by the Professional Regulation Commission (PRC) which expires on 09/20/2021.

ATTY. GERTRUDE JOY D. GAMONNAC

Notary Public
Until December 31, 2019
Roll No. 71169; 06-06-2018
PTR No. 4320284; 01-03-2019; Kalinga Province
IBP No. 097741; 01-04-2019; Kalinga-Apayao Chapter
MCLE (Excempt pursuant to Committee Order No. 1 Series of 2018
Tabuk City, Kalinga

Doc. No. _____

Page No. _____
Book No. _____
Series of 2019.