Omnibus Certification of Authenticity and Veracity of Documents v3
Omnibus Certification of Authenticity and Veracity of Documents v3
Omnibus Certification of Authenticity and Veracity of Documents v3
DOCUMENTS
I, FLORA DANICA D. FAJILAN Filipino, of legal age, with permanent address at 894
PUROK 5 NEW SAN JOSE DINALUPIHAN BATAAN, after being sworn in accordance with law,
hereby depose and state that:
2.1 CSC Form 212 (revised 2005) in two copies with the latest 2x2 ID picture
2.2 Certified photocopy of PRC professional identification card
2.3 Certified photocopy of ratings obtained in the Professional Board
Examination for Teachers
2.4 Certified copy of transcript of records
2.5 Copies of service record / certificate of employment
2.6 Certificates of specialized trainings
2.7 Certified copy of Voter’s ID and /or any proof of residency
2.8 NBI Clearance
3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.
__________________________
Date
SUBSCRIBED AND SWORN to before me in City / Municipality ________________ this _____ day of
__________, 2015, affiant exhibiting to me his/her Community Tax Certificate No. ________ issued on
______________ at ________________, Philippines.
__________________________
Notary Public