OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, Cris John R. Tabiolo, Filipino, of legal age, with permanent address at

Urban DECA Homes- Phase 1 Building 2 L409 , after being sworn in accordance with law, hereby
depose and state that:

1. I am applying for Teacher 1 at Schools Division of Cebu City,

Position

New Imus Ave., Brgy. Day-as, Cebu City, 6000;

Address

2. I have submitted the following documents:

2.1 Certificates of specialized trainings/seminars

2.2 CSC Form 212 (revised 2017) in two copies with the latest 2x2 ID picture
2.3 Copies of service record / certificate of employment
2.4 Certified photocopy of ratings obtained in the Professional Board Examination for
Teachers

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 Laguna to verify the authenticity of
the above mentioned documents.

_______________________
Signature over printed name

________________
Date

SUBSCRIBED AND SWORN to before me in City / Municipality ________________ this _____ day of
__________, 2021, affiant exhibiting to me his/her Community Tax Certificate No. ________ issued on
______________ at ________________, Philippines.

__________________________
Notary Public