Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS
I, Eunie Ann P. Pizarra , Filipino, of legal age, with permanent address at Brgy. Bagong Buhay, Gumaca, Quezon,
after being sworn in accordance with law, hereby depose and state that:

1. I am applying for an Teacher II position at Progreso Elementary School,

School

Brgy. Progreso Gumaca _ , Quezon.

Address of School Municipality Province

that I understood well the DepEd Order 66, s. 2007 (Revised Guidelines on the Appointment and Promotion of Other
Teaching, Related Teaching And Non-Teaching Positions)

2. I have submitted the following documents:

a) CSC Form 212 (Revised 2017) in two copies with the latest 2x2 ID picture and Work Experience
Sheet
b) Performance Rating for the last three years
c) Certificate of latest appointment
d) Certified copy of transcript of records
e) Certification of Rrecords authenticated by the School/University
f) Photocopy of License/Proof of eligibility authenticated by PRC or CSC
g) Certificate of trainings relevant to the position being applied for which are not yet credited during the
last promotion

3. I am executing this Certification to attest to the authenticity and veracity of all documents submitted.
4. I understand that any violation will automatically disqualify me from the selection process.

5. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I hereby

authorize the Department of Education, Division of Quezon through the School Principal, to verify the authenticity of the
abovementioned documents.

___________________________
Signature over printed name

____________________
Date

SUBSCRIBED AND SWORN TO before me this 10th day of January 2023, affiant exhibiting to me his/her Community
Tax Certificate No. ________ issued on ______________ at ________________, Philippines.

____________________
Notary Public