Omnibus Certification and Verasity of Documents Submitted

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OMNIBUS CERTIFICATION AND VERACITY OF DOCUMENTS SUBMITTED

CERTIFICATION
In connection with my Teacher-Application with the Department of
Education (DepEd) through the division of city schools of Northern
Samar.
I Mr. Gerardo Alcazar Megenio Jr, the undersigned, a Filipino
citizen, of legal age, with permanent address at Brgy.Dalakit
Catarman, Northern Samar, after having been sworn in accordance with
the existing laws, hereby depose and state:
That, I have submitted the following documents to the afore mentioned
office, to wit:
A. One (1) copy of CSC FORM 212(2017 VERSION) with latest Passport
size I.D picture;
B.PRC-Certified True Copy of the following documents:
B.1. Identification Card;
B.2. Certificate of Ratings;
B.3. Certificate of Passing
C. One (1) copy of School-certified True copy of my Transcript of
school records.
D. One (1) Copy of School-certified True copy of my General weighted
average.
E. One (1) copy of each of my Certificate(s) of Specialized Training.
F. One (1) copy of Voters certificate and/or any proof of residency,
as deemed acceptable by the School Screening Committee; and
G. One (1) copy of latest NBI Clearance.

I am executing this Omnibus Certification to attest to the


authenticity and veracity of all documents herein submit
By executing this Omnibus Certification of Authenticity and Veracity
of Documents, I hereby authorize the Department of Education through
the Division City Schools of Northern Samar, to verify the
authenticity of the above mentioned documents and information herein
disclosed.
SUBSCRIBED AND SWORN to before me on this day of
,2020. Affiant exhibiting to me his/her
(*Competent Evidence of Identity) issued at
on , .
Doc No.
Page No.
Book No.
Series of

GERARDO A. MEGENIO JR
T-1 Applicant

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