OMINIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, ____________________, Filipino, of legal age, with permanent address at

____________________________________________________________, after being sworn in
accordance with law, hereby depose and state that:

1. I am applying for ____________________ position at ______________-

_____________________;

2. I have submitted the following documents:

2.1 Application Letter
2.2 Comprehensive Resumè
2.3 CS Form 212 (PDS)
2.4 Certificate of Eligibility
2.5 Performance Ratings for the last three (3) rating periods (with numerical
rating);
2.6 Certification of Designations / Service Records as experience relevant to
the position;
2.7 Outstanding Accomplishments, such as:
i. Outstanding Employee Award
ii. Innovations
iii. Research and Development Project/s
iv. Publication / Authorship
v. Consultancy / Resource Speakership in
Trainings/Seminars/Workshop/Symposia
2.8 Education – Transcript of Records
2.9 Training/s:
i. Participant in a specialized training e.g. Scholarship Programs, Study Grants
for more than one (1) month;
ii. Attendance to three (3) or more training activities conducted for at least three
(3) days not given credits in the past promotions;
iii. As participant in one (1) trainings conducted for at least three (3) days in the
National and International level;
iv. Chair / Co-Chair in a Technical / Planning Committee

3. I am executing this Certification to attest to the authenticity and veracity of all

documents submitted.

4. By executing this Omnibus of Authenticity and Veracity of Documents, I

hereby authorize the Department of Education, Division of Camarines Sur to
verify the authenticity of the abovementioned documents.

___________________________
Applicant
_____________________________________________________________________________________________

SUBSCRIBED AND SWORN to before me this ______ day of _______________, 2021 at

________________________________________, Philippines.

_________________________

Community Tax No. : ____________________

Issued at : ____________________
Dated : ____________________