Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Region
DIVISION OF SURIGAO DEL NORTE
OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF
DOCUMENTS
CERTIFICATION
I, _JESANI D. SUPANGAN, Filipino, of legal age, with permanent address at P-7, BRGY.
CANLANIPA, SURIGAO CITY, after being duly sworn in accordance with law, do hereby depose
and state that:
1. I am applying for a TI position at _CANLANIPA CENTRAL ELEMENTARY SCHOOL,
BRGY. CANLANIPA SURIGAO CITY; that I understood well the DepEd Order No. 7, s. 2023
(Hiring Guidelines for K to 10 Teacher-Applicants for Teacher I Positions)
a) Letter of Intent
b) Duly accomplished PDS (CSC Form 212 Revised 2017)
c) Photocopy of valid and updated PRC License/ID
d) Photocopy of Certificate of Eligibility/ Rating
e) Photocopy of Scholastic/academic record e.g., TOR, Diploma
f) Photocopy of certificate/s of training, if applicable
g) Photocopy of Certificate of Employment, Contract of Service, or duly signed Service
Records, if applicable
h) Photocopy of latest appointment, if applicable
i) Photocopy of Performance Rating in the last rating period, if applicable
j) Checklist of requirements and Omnibus Sworn Statement on the Certification on the
Authenticity and Veracity of the Documents submitted and Data Privacy Consent Form
pursuant to RA 10173
k) Means of Verification (MOVs) for Outstanding Accomplishments, if applicable
l) Means of Verification (MOVs) for Application of Education, if applicable
m) Means of Verification (MOVs) for Application of Learning & Development/Training, if
applicable
n) Photocopy of Performance Rating obtained from the relevant work experience, that is,
if the item no. 9 is not relevant to position applied for, if applicable
2. I have submitted the following documents:
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, Division of __SURIGAO CITY through the School Head, to
verify the authenticity of the above mentioned documents.
JESANI D. SUPANGAN
Teacher I-Applicant
SUBSCRIBED AND SWORN TO before me this _____ day of __________, 2023, affiant exhibiting to
me his/her Community Tax Certificate No. ________ issued on __________ at Surigao del Norte,
Philippines.