OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, ________________BENNIE ENGAY-ESPALDON_____, Filipino, of legal age, with

permanent address at ___P4 Bagacay, Gubat, Sorsogon_________________, after being sworn in
accordance with law, hereby depose and state that:

1. I am applying for ________Teacher I____ _at ___Bagacay National High

Position Name of
School___________,
School
______________Bagacay, Gubat, Sorsogon________________;
Address of School

2. I have submitted the following documents:

2.1 Letter of Intent CSC Form 212 in two copies with the latest 2x2 ID
picture
2.2 CSC Form 212 in two copies with the latest 2x2 ID picture
2.3 Certificates of specialized trainings
2.4 Copy of proof of residence
2.5 Copies of service record / certificate of employment
2.6 NBI Clearance
2.7 Certified Photocopy of Diploma in Bachelor’s Degree
2.8 Certified photocopy of PRC professional identification card
2.9 Certified photocopy of Transcript of Record
3.0 Certified photocopy of ratings obtained in the Professional Board
3.1 Certified photocopy of GWA
3.2 EPT Result

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 ________Sorsogon_____, to verify
the authenticity of the abovementioned documents.

___BENNIE ENGAY ESPALDON__

Signature over printed name

__________________________
Date

SUBSCRIBED AND SWORN to before me in City / Municipality ________________ this _____ day of
__________, 2015, affiant exhibiting to me his/her Community Tax Certificate No. ________ issued on
______________ at ________________, Philippines.

__________________________
Notary Public