OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY

OF DOCUMENTS

I, MARUJA JESSA B. BANCALE, Filipino, of legal age, with permanent address at SITIO
KATAMBISAN, BRGY. SAN ISIDRO, ORMOC CITY, after being sworn in accordance with law,
hereby depose and state that:

1. I am applying for TEACHER I at NEW ORMOC CITY NATIONAL HIGH

Position School

SCHOOL- SENIOR HIGH SCHOOL, BGY. DON FELIPE LARRAZABAL,

School Address of School

ORMOC CITY;

2. I have submitted the following documents:

2.1 CSC Form 212 (revised 2017) in 2 copies with the latest passport size ID picture
2.2 Certified photocopy of CSE-PPT (Professional) Certification
2.3 True copy of transcript of records and certified copy of diploma
2.4 Certification from the School of GWA
2.5 Copies of service record
2.6 Certificates of specialized trainings and recognitions
2.7 Comelec Certification for Proof of Residency
2.8 NBI Clearance

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 Leyte through the School
Principal, to verify the authenticity of the abovementioned documents.

MARUJA JESSA B. BANCALE

Signature over printed name

____________________
Date