Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XI
Region 02
SCHOOLS DIVISION
SCHOOLS DIVISION OFFICE
OFFICEOF
OFNUEVA
DAVAOVIZCAYA
DEL SUR
Bayombong

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS
I, _____________________________________, Filipino, of legal age, with permanent address at
________________________________________________, after being sworn in
in accordance with law,
accordance with law, hereby
hereby
depose and state that:

1. II am applying
applying for
foraa Teacher 1 position
T1 position at _________________________________________,
at _________________________________________,
School

_________________________, ________________________, __________________ that I understood

Address of School Municipality Province

well
well the
the DepEd
DepEd Order No.
No. 7,
7, s. 2015(Hiring
s.2015 (Hiring Guidelines for Teacher
Teacher II positions Effective SY
SY 2020-
2015-
2021)
2016)

2. II have submitted the following

following documents:
documents:

a)
a) CSC
CSC Form
Form212212Revised
(Revised2017 (Personal
2005) Data Sheet)
in two copies in three
with the latestcopies
2 x 2 with the latest 2 x 2 ID picture;
ID picture
b)
b) Certified
Certified photocopy
photocopyofofPRC
PRCProfessional
Professional Identification
Identification card
cardor a PRC certification showing the teacher's name;
c)
c) Certified
Certified photocopy
photocopyofofratings
ratingsobtained
obtainedin in
thethe
Licensure
Licensure Examination
Examination for Teachers/ Professional
for Teachers/ Professional
Board
Board Examination
Examinationfor forTeachers
Teachers;
d)
d) Certified
Certifiedphotocopy of Transcript
copy of transcript of Records with General Weighted Average (GWA);
of records
e) Copies
Note: Aofcustomized
service record, performance
MS Excel format torating,
compute andthe
school
GWA,clearance
ELS andfor PTthose
can bewith teaching at
downloaded
experience. If unavailable,
deped-nv.com/memo. Thethe applicantmust
applicant mustuse
submit
it toacompute
justification
the citing the reason/s
weighted averages.unavailability;
Print it and
f) Certified
submit photocopy
a hardcopy.of certificates of relevant
A softcopy must specialized
also be training,
sent to if any;
dantejamison@yahoo.com and
g) Certified
princescachola@gmail.com
copy of the Voter’s ID and/or any proof of residency;
e) Copies of
h) NBI clearance service record, performance rating, and school clearance for those with teaching
experience
i) Omnibus certification of authenticity and veracity of all documents ; and
f) Certificates of specialized training, if any
j) Checklist of documents submitted, available at bit.ly/AttachmentChecklistT1.
g) Certified copy of the Voter’s ID and/or any proof of residency as deemed acceptable by the
School Screening Committee
h) NBI clearance
3. I am executing this Certification to attest to the authenticity and veracity of all documents submitted.
4.
3. II understand
am executing that any
this violation will
Certification toautomatically disqualify me
attest to the authenticity andfrom the selection
veracity process.submitted.
of all documents
5.
4. By executing that
I understand Omnibus
this any Certification
violation of Authenticity
will automatically disqualify andmeVeracity
from theof Documents,
selection I hereby
process.
5. authorize
By executing this Omnibus Certification of Authenticity and Veracity of Documents, Ithe
the Department of Education, Schools Division Offfice of Davao del Sur through School Head,
hereby
to verify the authenticity of the abovementioned documents.
authorize the Department of Education, SDO Nueva Vizcaya through the School Head, to verify the
authenticity of the abovementioned documents.

Signature over printed name

Date

SUBSCRIBED AND
SUBSCRIBED ANDSWORN
SWORNTO
TObefore
beforeme
methis
this____
____day
day of
of _____,
_____, 2020,
2016, affiant
affiant exhibiting
exhibitingto
tome
me his/her
his/her
Community Tax Certificate No. _______issued on _______ at __________________________________,
Philippines

Notary Public