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OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, Lovelia B. Alicando, Filipino, of legal age, with permanent address at 191


Molave St. Zone B Camp Aquino, San Miguel, Tarlac City, after being sworn in
accordance with law, hereby depose and state that:

1. I am applying for the position of Master Teacher I at Jose V Yap National


High School, San Miguel, Tarlac City

2. I have submitted the following documents:

2.1 CSC Form 212 (revised 2017) with the latest 2x2 ID picture
2.2 Performance Rating/IPCRF for the last 3 consecutive years
2.3 Transcript of Record (Authenticated)
2.4 Eligibility Rating
2.5 Latest Copy of Appointment
2.6 Updated Service Record
2.7 Copy of Certificate of Seminars/Training Attended
2.8 Updated PRC ID (Authenticated)
2.9 Other Outstanding Accomplishments/Documents relevant
to the position applied to

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
Tarlac Province, to verify the authenticity of the abovementioned documents.

________________________
Signature over printed name

________________________
Date

SUBSCRIBED AND SWORN to before me in City / Municipality of Tarlac this 15 th day of December,
2023, affiant exhibiting to me his/her Community Tax Certificate No. 22914 issued on January 10, 2023
at Tarlac City, Philippines.

__________________________
Notary Public

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