Republic of the Philippines)

City of ___________________)S.S.

OMNIBUS AFFIDAVIT
(for Public and Private Personnel)

I _______________________________, of legal age, single/married,

with postal address at___________________________ ,after having duly
sworn in accordance with law hereby depose and state:

That I am presently employed with the __________________ as

_______________________;

That I have been employed in ______________________________

since _____________________or for a period of _______________;

That I was designated as coach of _______________________, who

will participate in the School Sports activities of the Department of
Education up to 20__ Palarong Pambansa;

That all the athletes are not members of the National Team,
National Training Pool, and Development Pool whether or not receiving
monthly stipend/allowance from the Philippine Sports Commission
(PSC);

That all the athletes records submitted are true and correct to
the best of my personal knowledge;

That I execute this Affidavit to attest to the authenticity and

veracity of all the documents submitted.

IN WITNESS WHEREOF, I have hereunto set my hand this

_______ day of _____________________20__ in ________________________,
Philippines.

__________________________
Affiant

SUBSCRIBED and sworn to before me in ______________, this day

____________of month 20___, affiant executing his/her ____________
___________, issued at _________ on _____________.

_________________________
Notary Public

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)