Omnibus Certification of Authenticity and Veracity of All Documents Submitted

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Republic of the Philippines

Province of Leyte
City of Tacloban

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF


ALL DOCUMENTS SUBMITTED

I, JESSAMAE BADAR MACASOJOT, of legal age, single, Filipino and a resident of Brgy.
105, Suhi District St. Francis Village, Tacloban City, after having been duly sworn to an oath in
accordance with law, hereby depose and say;

I am in possession of the original copies of the following documents, to wit:

1) CSC Form 212 (Revised 2017) in two copies with the latest 2x2 ID picture;
2) Certified photocopy of PRC Professional Identification Card;
3) Certified photocopy of LET Rating
4) Certified copy of Transcript of Records (TOR) with General Weighted
Average (GWA) signed by University Registrar
5) Certified copies of Service Record and Performance Rating
6) Certified copy of Certificate/s of Specialize Training
7) Certified copy of voter`s ID and/or any proof of residency as deemed
Acceptable by the School Screening Committee
8) Certified copy of NBI Clearance

I have caused the faithful reproductions from the original documents as being required relevant
to my application to enter into a government service as teacher.

I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal
purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of July 2021 at
Tacloban City, Philippines.

JESSAMAE B. MACASOJOT
Affiant

SUBSCRIBED AND SWORN to before me this __ __ day of by the affiant,


who exhibit to me her Community Tax Certificate No. ____________________ issued on the
____ of ________, 2021 at Tacloban City, Philippines.

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