OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS

I, __________________________, Filipino, of legal age, _______(married/single) with

permanent address at _____________________________________________, after having

been duly sworn in accordance with law, hereby depose and state that:

1. I am applying for__________________ at _________________________, Position School / Office

___________________________; Address of School / Office

2. I am executing this Omnibus Sworn Certification to attest to the authenticity and veracity of all documents I submitted;

3. I assume full responsibility and accountability on the validity and authenticity of the documents submitted and I understand that any violation will automatically disqualify me from the selection process.

IN WITNESS WHEREOF, I have hereunto set my hand this ________ of day

________________, __________ at Davao City, Philippines. month year

________________________Signature over printed name

SUBSRIBE AND SWORN TO before me this _______ of _____________, day month

________ with Affiant exhibiting to me his/her Community Tax No. ______________ year

issued on __________________ at __________________, Philippines. date place of issue

________________________ Notary Public