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Old Omnibus

The document is an omnibus certification from an applicant for a teaching position. It certifies the authenticity of documents submitted including a CSC Form 212, PRC card, board exam ratings, transcript, training certificate, employment records and barangay clearance. It authorizes verification of the documents and notes any violations will disqualify the applicant.

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Laarni Ramirez
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36 views1 page

Old Omnibus

The document is an omnibus certification from an applicant for a teaching position. It certifies the authenticity of documents submitted including a CSC Form 212, PRC card, board exam ratings, transcript, training certificate, employment records and barangay clearance. It authorizes verification of the documents and notes any violations will disqualify the applicant.

Uploaded by

Laarni Ramirez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region II
SCHOOLS DIVISION OFFICE OF NUEVA VIZCAYA
Bayombong

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, _________________________________________________, Filipino, of legal age, with permanent address at


___________________________________________________________, after being sworn in accordance with law,
hereby depose and state that:

1. I am applying for a____________________ position at ______________________________________________,


Position Name of School
_____________________________________________________;
Address of School

2. I have submitted the following documents:


a) CSC Form 212 (revised 2017) in two copies with the latest 2x2 ID picture,
b) Certified photocopy of PRC professional identification card
c) Certified photocopy of ratings obtained in the Professional Board Examination for
Teachers,
d) Certified copy of Transcript of Records/GWA,
e) Copy of Certificate of Training
f) Copies of Certificate of Employment
g) Barangay Clearance
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 Nueva Vizcaya, to verify the
authenticity of the abovementioned documents.

_________________________________
Signature over printed name

__________________________
Date

SUBSCRIBED AND SWORN TO before me this _____ day of __________, 2024, affiant exhibiting
to me his/her Community Tax Certificate No. ___________ issued on ______________ at
_______________________________, Philippines.

__________________________________
Notary Public

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