OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, _________MAE JOY A. MURALLA________, Filipino, of legal age, with permanent address at __47 – C
LUKBAN STREET, BRGY. 52, TACLOBAN CITY ___, after being sworn in accordance with law, hereby depose and
state that:

1. I am applying for _______TEACHER I________ at ___KAPUSO VILLAGE INTEGRATED SCHOOL__,

Position School

___BRGY. 106 STO. NIÑO, TACLOBAN CITY____;

Address of School

2. I have submitted the following documents:

2.1 CSC Form 212 (Revised 2017) in two copies with the latest 2x2 ID picture
2.2 Certified photocopy of PRC professional identification card
2.3 Certified photocopy of ratings obtained in the Licensure Examination for
Teachers/ Professional Board Examination for Teachers
2.4 Certified copy of Baccalaureate Transcript of Records
2.5 Certificates of specialized training, if any
2.6 Certified copy of Voter’s ID and /or any proof of residency
2.7 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 Tacloban City through the School Principal, to verify the
authenticity of the abovementioned documents.

_____MAE JOY A. MURALLA_____

Signature over printed name

_____________________________
Date

SUBSCRIBE AND SWORN to before me in the City/Municipality __TACLOBAN CITY__ this _____ day of
______________________, 2018, affiant exhibiting to me his/her Community Tax Certificate No. _04393077_
issued on _TACLOBAN CITY_ at _TACLOBAN CITY, LEYTE_, Philippines.

_______________________________
Attorney Public