Republic of the

Philippines DEPARTMENT
OF EDUCATION Region 02
SCHOOLS DIVISION OFFICE OF NUEVA
VIZCAYA
Bayomb
ong

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 teaching ,

position at School
 , , that I understood
Address of School Municipality Province

well the DepEd Order No. ,3 s.2016 (Hiring Guidelines for Senior High School teachings positions
Effective SY 2016-2017)

2. I have submitted all pertinent documents for my application like

a. CSC Form 212, Revised 2005 (Personal Data Sheet) in two (2) copies with the latest 2x2 ID
picture
b. Certified photocopy of certificates of relevant specialized trainings, if any
c. Certified copy of Voters ID and/or any proof of residency
d. National Bureau of Investigation (NBI) clearance
e. others
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, SDO Nueva Vizcaya through the School Head, to verify
the authenticity of the abovementioned documents.

Signature over printed name

Date