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Omnibus

Jelly Lagria Obas is applying for a Teacher I position at Bulacao Elementary School in Valencia City, Bukidnon. She submitted various documents required for the application, including her CSC Form 212, PRC license, transcript of records, and NBI clearance. She understands that any violation will disqualify her from the selection process. She authorized the Department of Education to verify the authenticity of the submitted documents. She signed the omnibus certification on [date].

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RJ D. Vallente III
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1K views1 page

Omnibus

Jelly Lagria Obas is applying for a Teacher I position at Bulacao Elementary School in Valencia City, Bukidnon. She submitted various documents required for the application, including her CSC Form 212, PRC license, transcript of records, and NBI clearance. She understands that any violation will disqualify her from the selection process. She authorized the Department of Education to verify the authenticity of the submitted documents. She signed the omnibus certification on [date].

Uploaded by

RJ D. Vallente III
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 10
SCHOOLS DIVISION OFFICE OF VALENCIA CITY

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF


DOCUMENTS
I Jelly Lagria Obas, Filipino of legal age, with permanent address at Purok 4, Concepcion,
Valencia City, Bukidnon after being sworn by law hereby depose and state that:
I am applying for a Teacher I position at Bulacao Elementary School, Valencia City, Bukidnon
that I understood well the DepEd Order 07, s. 2015 (Hiring Guidelines for T1
position)
1. I have submitted the following documents:
a.) CSC Form 212 (Revised 2005) in two copies with the latest 2x2 ID picture
b.) Certified photocopy of PRC Professional Identification card
c.) Certified photocopy of ratings obtained in the Licensure Examination for Teachers /
Professional Board Examination for Teachers
d.) Certified copy of transcript of records
e.) Copies of service record, performance rating, and school clearance for those with teaching
experience
f.) Certificate of specialized trainings, if any
g.) Certified copy of the voter's ID and any proof of residency as deemed acceptable by the
School Screening Committee
h.) NBI clearance

2. I understand that any violation will automatically disqualify me from the selection process.
3. Executing this Omnibus Certification of Authenticity and Veracity of Documents. I hereby
authorize the Department of Education, SDO Valencia City through the School Head, to verify
the authenticity of the abovementioned documents.

JELLY L. OBAS, LPT


Signature over printed name

Date

SUBSCRIBED AND SWORN TO before me this___ day of ________, 2023, affiant exhibiting
to me his/her Community Tax Certificate No. _________ issued on __________ at___________,
Philippines.

Notary Public

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