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Omnibus Certification of Authenticity and Veracity of Documents

I, ROWENA B. RODRIGO , Filipino, of legal age, with permanent address at PUROK 169,SILANG
CROSSING EAST, TAGAYTAY CITY, after being sworn in accordance with law, hereby depose and state
that:

1. I am applying for TEACHER I at TAGAYTAY CITY INTEGRATED SCHOOL ,


Position Name of School

BARANGAY GUINHAWA SOUTH ,TAGAYTAY CITY ;


Address of School

2. I have submitted the following documents:


2.1 Application Letter
2.2 CSC Form 212 ( Revised 2017 )
2.3 Certified Photocopy of Professional Licensed Id
2.4 Certified Photocopy of LET ratings / PBET ratings
2.5 Certified Photocopy of Certificate of Passing
2.6 Certified Photocopy of Certificate of Good Standing
2.7 Certified Photocopy of Transcript of Records/General Weighted Average
2.8 Copies of Service Records,Performace Ratings and School Clearance
2.9

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 Cavite through the School Principal, to verify the
authenticity of the above mentioned documents.

_____________________________________
Signature over printed name

__________________________
Date

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