Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III
TARLAC CITY SCHOOLS DIVISION
Tarlac City

OMNIBUS CERTIFICATION OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Rhylet M. Gorospe, Filipino, of legal age, with permanent address at ___#6 Blk. 2
Brgy. Ungot Tarlac City, after being sworn in accordance with law, hereby depose and state
that:

1. I am applying for SHS- Teacher position at Tarlac National Highschool Annex ,

Mac Arthur Highway Barangay San Miguel, Tarlac City, Tarlac.

2. I have submitted the following documents:

2.1 CSC Form 212 (Revised 2017) in two copies with latest 2X2 ID picture.
2.2 Certified photocopy of PRC professional Identification card
2.3 Certified photocopy of ratings , passing and good standing obtained in the
Licensure Examination for Teachers /Professional Board Examination for Teachers.

2.4. Certified copy of Official Transcript of Records

2.5 Copies of service record /certificate of employment , and school clearance for
those with teaching experience

2.6 Certificate of Seminars / Trainings attended

2.7 Certified copy of the Voter’s ID and/or any proof of residency as deemed
acceptable by the School Screening Committee
2.8 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, Tarlac City Schools Division through the
School
Head, to verify the authenticity of the abovementioned documents.
IN WITNESS, WHEREOF, I hereunto set my hand this _________day of ______ ,2022
at Tarlac City , Philippines.

RHYLET M. GOROSPE
Signature over Printed Name
_______________________
Date

SUBSCRIBED AND SWORN TO before me this _______day of _________,

2022, affiant exhibiting to me his/her Community Tax Certificate No. _CCI2020
0106824 issued on January 03,2022 at Tarlac City.
Notary Public