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OMNIBUS CERTIFICATION AND VERACITY OF DOCUMENTS

SUBMITTED

CERTIFICATION
I, _______________________________________, of legal age, ______________ [Civil
Status], __________________(Nationality), and residing at
_________________________________________ (Address of Teacher-Applicant), 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


Teaching Position in 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) I carefully examine all of the requirements for Hiring Teaching Position

b) I acknowledge all conditions stipulated in DepEd Order No. 7, s. 2015 re:


Hiring Guidelines for Teacher I Positions Effective School Year (SY) 2015-
2016 (For Elementary and Junior High School applicants) and DepEd Order
No. 3, s. 2016 re: Hiring Guidelines for Senior High School (SHS) Teaching
Positions Effective School Year 2016-2017 (For Senior High School
applicants)

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______________
2017 at ____________, General Santos City, Philippines.

___________ _____________________________
Signature Over Printed Name of the Teacher-Applicant
CERTIFICATION
(For Elementary and Junior High School)

TO WHOM IT MAY CONCERN:

This is to certify that ______________________________________ receives the following


Name of School
documents of ___________________________________ for ranking of Teacher I applicants
Name of Applicant
on ____________________:

_____ 1. CSC Form 212 (Revised 2005) in two copies with latest 2x2 ID picture
_____ 2. Certified photocopy of the PRC professional identification card
_____ 3. Certified photocopy of ratings obtained in the Licensure Examination for Teachers/
Professional Board Examination for Teachers
_____ 4. Certified copies of Transcript of Records
_____ 5. Copies of Service Record, Performance Rating and School Clearance for those with
teaching experience. If unavailable, a justification citing the reason/s for unavailability
_____ 6. Certificates of specialized training, if any
_____ 7. Certified copy of the Voters ID and/or any proof of residency
State: ___________________________________
_____ 8. NBI clearance
_____ 9. Omnibus certification of authenticity and veracity of all document submitted signed by the
applicant

Given this _____ day of ________________, 2017 at ____________________________,


Name of School
Division of General Santos City.

___________ _____________________________
Signature Over Printed Name of the School Head

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