REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.

x----------------------------------x

OMNIBUS SWORN STATEMENT OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, __________________________, Filipino, of legal age, and with permanent

address at Paniqui Tarlac, after being sworn in accordance with law, hereby
depose and state that:

1. I am applying for TEACHER I at Tarlac Province;

2. I have submitted the following documents:

2.1 Personal Data Sheet (CS Form No. 212 revised 2017)
2.2 Transcript of Records
2.3 Certificate of General Weighted Ave (GWA)
2.4 Updated PRC License
2.5 PRC Rating
2.6 Certificate of Seminars/Trainings/Participations
attended
2.7fffffffffff PSA Birth Certificate/ Marriage Contract
f

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

IN WITNESS WHEREOF, I have hereunto set my hands this _______ day of

____________________, at Paniqui Tarlac, Philippines.

_____________________________
Affiant
 SUBSCRIBED AND SWORN TO before me this _______ day of
________________________, at Paniqui Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020