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Omnibus Sworn Statement

This document is an omnibus sworn statement from an applicant for a teaching position. In 3 sentences: The applicant certifies that they are submitting authentic copies of documents required for the application, including civil service forms, educational records, licenses and clearances. They authorize verification of all submitted documents by the school selection committee. The applicant signs the statement under oath before a notary, affirming that all information provided is true and correct.

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Mark Leo Saldua Gelizon
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21K views2 pages

Omnibus Sworn Statement

This document is an omnibus sworn statement from an applicant for a teaching position. In 3 sentences: The applicant certifies that they are submitting authentic copies of documents required for the application, including civil service forms, educational records, licenses and clearances. They authorize verification of all submitted documents by the school selection committee. The applicant signs the statement under oath before a notary, affirming that all information provided is true and correct.

Uploaded by

Mark Leo Saldua Gelizon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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OMNIBUS SWORN STATEMENT

Republic of the Philippines


Province of _______
Municipality of _________

AFFIDAVIT

I, _________________________of legal age, single/married/widow/widower. Filipino


Name of Applicant/Affiant

and residing at__________________________, after having been duly sworn in accordance


Address of Affiant

with law, do hereby depose and state that:

1. I am bonafide applicant for__________ in the_________________________________,


Position Name of School

Division of Biliran;

2. I am submitting the following documents together with a written application, to wit:


 CSC Form 212 (Revised 2017) in two copies with the latest 2x2 ID picture
 Certified photocopy of PRC Certificate of Registration/License
 Certified photocopy of ratings obtained in the Licensure Examination for
Teachers/Professional Board Examination for Teachers.
 Certified copies of transcript of records for baccalaureate course
 Certificates of specialized training, if any
 Certified copy of Voter’s ID or Voter’s Certification
 General weighted average for baccalaureate course
 Technical Education and Skills Development Authority (TESDA) National
Certificate II, if any
 NBI Clearance

3. I am certifying that each of the documents submitted in satisfaction of the


requirements for application is an authentic copy of the original , complete, and all
statements and information provided therein are true and correct;
4. I am authorizing the Chairman and Members of the School Selection Committee to
verify all the documents which I have submitted.

IN WITNESS WHEREOF, I have set my hand this day of 2019 at


________________________.

__________________
Applicant Signature
PRC ID No. _________
Issued on ____________
Issued at ____________

SUBSCRIBED AND SWORN to before me this ____ day of ________, 2019 at


______________________, affiants exhibited to me his/her PRC ID Number.

__________________
Notary Public

Doc. No. _____


Book No._____
Page No. _____
Series of 20____

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