Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XI
DIVISION OF DAVAO DEL NORTE

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, JHOMERIX D. GAUM, Filipino, of legal age, with permanent address at PUROK LAWA-AN,
MONTE DUJALI, SAN ISIDRO, DAVAO DEL NORTE after being sworn in accordance with the law,
hereby depose and state that:

1. I am applying for JUNIOR HIGH SCHOOL TEACHER 1 at DATU BALONG NATIONAL HIGH
SCHOOL, DATU BALONG, SAN ISIDRO, DAVAO DEL NORTE, that I understood well the DepEd
Order 07, s. 2015 (Hiring Guidelines for Teacher 1 Position).

2. I have submitted the following documents;

a. 2 copies of letter of intent addressed to the Schools Division Superintendent
through the School Head
b. 2 copies of CSC form Revised 1017 (Personal Data Sheet) all original and duly
notarized with the latest Passport size ID picture
c. 2 copies of PRC ID photocopy
d. 2 copies of Certified Copy of Transcript Of Records (original and photocopy)
e. 2 copies of Certification of General Weighted Average (GWA) issued by the
school graduated (original and photocopy)
f. 2 copies of Certification, Authentication and Validation (CAV) issued by CHED
(original and photocopy)
g. 2 copies of Service Record, Certificate of Employment and Performance Rating
(original and photocopy)
h. Certificates of Specialized Trainings (originals and photocopies)
i. 2 copies of Voters Certification proof of residency (original and photocopy)
j. 2 copies of NBI Clearance (original and photocopy)
k. 2 copies of Birth Certificate issued by the Philippine Statistics Authority
(photocopy and original)
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 Davao del Norte
through the School Principal/ School Head, to verify the authenticity of the above mentioned
documents.

JHOMERIX D. GAUM
Signature over Printed Name

Date

SUBSCRIBED AND SWORN TO before me this ____day of ______________, 2020, affiant

exhibiting to me his Community Tax Certificate No. 03493589 issued on January 3, 2020 at
Tagum City, Philippines.
Notary Public