OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, LEVELYN RAMOS DE GRANO of legal age, Filipino with permanent address at 150
Barangay Loma Amadeo, Cavite, after being sworn in accordance with law, hereby depose and state
that:

1. I am applying for Teacher 1 Position at Dasmariñ as II , CENTRAL SCHOOL

2. I have submitted the following documents:

2.1 CSC Form 212 (revised 2017) in two copies with the latest passport
size ID picture;
2.2 Certified photocopy of PRC Professional Identification Card;
2.3 Certified photocopy of ratings obtained in the Licensure Examination
for Teachers/ Professional Board Examination for Teachers;
2.4 Certified copy of Transcript of Records (TOR);
2.5 Computation of Grades;
2.6 Copies of Service Record /Certificate of Employment, Performance
Rating, and School Clearance for those with teaching experience;
2.7 Certificates of Specialized Training, if any;
2.8 Certified Copy of Voter’s ID and /or any Proof of Residency as
deemed acceptable by the School Screening Committee;
2.9 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, Division of Cavite through the School
Principal, to verify the authenticity of the abovementioned documents.

LEVELYN RAMOS DE GRANO

Teacher Applicant

____________________
Date

Subscribed and sworn to before me this __________ day of ______, 2023 at _______________ Cavite

NOTARY PUBLIC