Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

OMNIBUS CERTIFICATION

I, CLAIRE JEAN A. GEGANTOCA, Filipino,legal age, with permanent address at

Amican St. Brgy. Poblacion District No. 3, San Jacinto, Masbate, assumed the
duties and responsibilities as Teacher III after being sworn in accordance with law,
hereby depose and state that.

1. I have submitted the following documents

a. Position Description Form

b. Personal Data Sheet
c. Work Experience Sheet (indicate work experience encoded in PDS)
d. Valid PRC ID Authenticated by PRC
e. Original PRC Online Verification
f. Valid Certificate of Good Standing authenticated by PRC
g. Certificate of Rating
h. Transcript of Record (College), Special Order (if any), and Diploma
i. Transcript of Record for Masteral together with Certificate of Academic
Requirements (CAR)/Certification, Authentication and Verification
(CAV)
j. Original Certificate of Live Birth (PSA)
k. Original Marriage Contract (PSA)
l. Statement of Assets, Liabilities, and Net Worth year 2022 (SALN)
m. Original Medical Certificate with Laboratory Test, Neuro and NBI
Clearance.
n. Authenticated Latest Appointment
o. Certificate of Trainings

2. I am executing this certification to attest to the authenticity and veracity of all

documents submitted.
3. By executing the Omnibus Certification of Authenticity and Veracity of
Documents, I hereby authorize the Department of Education, Division of
Masbate Province, to verify the authenticity of the abovementioned
documents.
4. I agree that any misrepresentation made in this document and its attachments
shall cause the filing of administrative case/s against me.

CLAIRE JEAN A. GEGANTOCA

Signature Over Printed Name
Date:

SUBSCRIBED AND SWORN to before in City/Municipality__________this___day of

___, 2023 affiant exhibiting to me his/her Community Tax Certificate No._____issued
on________ at __________, Masbate.