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OMNIBUS CERTIFICATION

AND

VERACITY

OF

DOCUMENTS SUBMITTED

C E R T I F I C AT I O N
I, ________________________________________, of legal age, single/married/separated,
Filipino, and residing at _________________________________________, after having been
duly sworn in accordance with law, do hereby depose and state that:
1. Each of the documents submitted in satisfaction of the requirements for Hiring Teacher I
position Based on the Reform Actions in Basic Education Sector Reform Agenda
(BESRA) is an authentic copy of the original, complete, and all statements and
information provided therein are true and correct;
2. I am authorizing the School Selection Committee or its duly authorized representative(s)
to verify all the documents submitted;
3. I am aware of and have undertaken the following responsibilities as a Teacher-Applicant:
a) Carefully examine all of the requirements for Hiring Teacher I position Based on the
Reform Actions in Basic Education Sector Reform Agenda (BESRA);
b) Acknowledge all conditions in the Revised Guidelines on Hiring Teacher I position
Based on the Reform Actions in Basic Education Sector Reform Agenda (BESRA)
DepED Order No. 12, s. 2012;
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______________
2013 at ________________________, Philippines.

______________________________________
Signature over Printed Name of the Teacher-Applicant

SUBSCRIBED AND SWORN TO before me this ______ day of __________, 20___, and affiant
exhibiting his/her competent proof of identity as follows: ID # _____________ issued by
__________________.