Omnibus
Omnibus
Omnibus
1. I am applying for TEACHER III at DEPED DIVISION OF BAIS CITY who is willing to
be assigned in any schools within the division.
2. I have submitted the following documents:
3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.
4. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I
hereby authorize the Department of Education, Division of Bais City, Negros Oriental
through the Schools division Superintendent; verify the authenticity of the above-mentioned
documents.
SUBSCRIBED AND SWORN to before me in the City/ Municipality of Bais this 18th day of
April 2022, affiant exhibiting to me his/ her Community Tax Certificate No. 03000172 issued at
Bais City on January 28, 2022, at Bais City, Philippines.
__________________________
Notary Public
TABLE OF CONTENTS
CSC Form 212, Revised 2017 (Personal Data Sheet) with the latest passport size ID
picture.
Eligibility
Certified photocopy of Performance Ratings for the last three (3) rating periods.