Omnibus Certification: Department of Education

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Republic of the Philippines

Department of Education
Region XI
Division of Davao del Sur

OMNIBUS CERTIFICATION

I, JELLY MARIE B. FLORES , Filipino, of legal age, with permanent address at PUROK 2 PALILI,
SULOP, DAVAO DEL SUR , after being sworn in accordance with law, hereby depose and state that:

1. I am a qualified Teacher 1 applicant at SULOP NATIONAL HIGH SCHOOL.

2. I am executing this omnibus certification to assure authenticity and veracity of all documents
submitted:

_____ CSC Form 212 in three copies with latest 2x2 ID picture
_____ Certified photocopy of PRC Professional Identification Card
_____ Certified photocopy of rating obtained in the Licensure Examination for Teachers
_____ Certified true photocopy of Transcript of Records for baccalaureate
_____ Certificate of training
_____ Certified copy of Voter’s ID
_____ NBI Clearance

3. I assure full responsibility and accountability on the validity and authenticity of the documents
submitted and understand that any violation will automatically disqualify me from the selection
process.

IN WITNESS WHEREOF, I have hereunto set my hands this day ______ of ________________, 2021
at ______________, Davao Del Sur, Philippines.

SIGNATURE ABOVE PRINTED NAME

NOTARY PUBLIC
Republic of the Philippines
Department of Education
Region XI
Division of Davao del Sur

OMNIBUS CERTIFICATION

I, DEXTER C. CUIZON , Filipino, of legal age, with permanent address at PUROK 4


TANWALANG, SULOP, DAVAO DEL SUR , after being sworn in accordance with law, hereby depose
and state that:

1. I am a qualified Teacher 1 applicant at FELIPE-INOCENCIA DELUAO NATIONAL HIGH SCHOOL.

2. I am executing this omnibus certification to assure authenticity and veracity of all documents
submitted:

_____ CSC Form 212 in three copies with latest 2x2 ID picture
_____ Certified photocopy of PRC Professional Identification Card
_____ Certified photocopy of rating obtained in the Licensure Examination for Teachers
_____ Certified true photocopy of Transcript of Records for baccalaureate
_____ Certificate of training
_____ Certified copy of Voter’s ID
_____ NBI Clearance

3. I assure full responsibility and accountability on the validity and authenticity of the documents
submitted and understand that any violation will automatically disqualify me from the selection
process.

IN WITNESS WHEREOF, I have hereunto set my hands this day ______ of ________________, 2021
at ______________, Davao Del Sur, Philippines.

SIGNATURE ABOVE PRINTED NAME

NOTARY PUBLIC

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