Republic of the Philippines
Department of Education
Region VII
DIVISION OFFICE OF CEBU PROVINCE
OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS
I, _Shiela Mae Molina, Filipino, of legal age, with permanent address at
_Panagdait,Ibabao,Cordova Cebu, after being sworn in accordance with law, hereby depose and
state that:
I am applying for __Teacher I__ at _Ibabao, Night High School____,
_Ibabao, Cordova Cebu_; that I understood well the DepEd Order No. 19,
s.2022 (DepEd New Merit Selection Plan)
1. I have submitted the following documents:
2.1 Letter of Intent
2.2 CSC Form 212 (revised 2017) in two copies with the latest 2x2 ID picture
2.3 Certified photocopy of PRC professional identification card
2.4 Certified photocopy of ratings obtained in the Licensure Examination for
Teachers/ Professional Board Examination for Teachers
2.5 Certified copy of transcript of records
2.6 Copies of service record, performance rating, and school clearance for
those with teaching experience
2.7 Certificates of specialized training, if any
2.8 Certified copy of Voter’s ID and /or any proof of residency as deemed
acceptable by the School Screening Committee
2.9 NBI Clearance
2.10 Omnibus Certification of Authenticity and Veracity of all documents
submitted, signed by the applicant
2. I am executing this Certification to attest to the authenticity and veracity of all
documents submitted.
3. By executing this Omnibus Certification of Authenticity and Veracity of Documents,
I hereby authorize the Department of Education, Division of Cebu Province through the School
Principal, to verify the authenticity of the above mentioned documents.
____________________
Signature over printed name
_____________
Date
SUBSCRIBED AND SWORN TO before me this September 26, 2023, affiant exhibiting to me his/her
Community Tax Certificate No. 096191451 issued on December 22, 2022 at Cordova,Cebu,
Philippines.
____________________________________
Notary Public