Omnibus Certification of Authenticity and Veracity of Documents

I, Alvin A. Pabores, Filipino of Legal Age, with permanent address at 121 Brgy. Kapatalan, Siniloan, Laguna,
after being sworn in accordance with law, hereby depose and state that:

1. I am applying for Senior High School Teacher at Governor Felicisimo T. San Luis National
Position School
Agro-Industrial Integrated High School, Brgy. Kapatalan, Siniloan, Laguna.
Address of School

2. I have submitted the following documents:

2.1 Omnibus Certification of authenticity and veracity of all document submitted
2.2 Letter of intent
2.3 CSC Form 212 (Revised 2015) in two copies with the latest 2x2
2.4 Barangay Clearance
2.5 Copy of justification letter
2.6 Copy of transcript of record and diploma for baccalaureate course
2.7 NBI Clearance
2.8 Certification of good standing
2.9 Certification of passing
2.10 Certification of rating
2.11 Certificate of Seminar attended
2.12 PRC license ID

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 Laguna through the School Principal,
to verify the authenticity of the above mentioned documents.

Alvin A. Pabores s
Signature over Printed Name

1648804 4
PRC License No.

SUBSCRIBE AND SWORN to me this _____day of September 2018 affiant exhibiting to me above stated
government issued identification card.

Doc. No. __________________

Page No. __________________

Book No. __________________

Sign of __________________