REPUBLIC OF THE PHILIPPINES)

Pagadian City, Zamboanga del Sur )

x............................................................./

OMNIBUS AFFIDAVIT
(RE: AUTHENTICATION OF PERSONAL DOCUMENTS FOR TEACHER
APPLICANTS PURSUANT TO DEPED ORDER NO. 7, SERIES OF 2015)

I GEORGE ZAMORA, Filipino citizen, 32 years old, single and a resident of WOODLAND,
BEGONG TIGBAO, ZAMBOANGA DEL SUR, Philippines after having been duly sworn to an oath
do hereby depose and state;

1. That I am a qualified Teacher applicant for the Province of Zamboanga del Sur, Philippines;

2. In connection thereto, I intend to submit the following documents in support of my

application and in fulfillment of the requirements for the Teacher 1 position based on
The reform actions in Basic Education sector Reform Agenda (BESRA), to wit:

LETTER OF INTENT
CSC FORM 212, REVISED 2005
TRANSCRIPT OF RECORDS
CERTIFICATE OF GENERAL WEIGHTED AVERAGE (GWA)
BOARD RATING
PROFESSIONAL IDENTIFICATION CARD
RELEVANT CERTIFICATES/TRAININGS
CERTIFICATE OF RESIDENCY
POLICE CLEARANCE
NBI CLEARANCE

3. That the above-mentioned documents are true and authentic copies from the original
thereof and that all the information provided therein are true and correct; and

4. That I am executing this affidavit as my honest declaration of the foregoing narration of

facts in order to support my foregoing application before the office of the Department of
Education (DepEd) for Zamboanga del Sur and for whatever legal purpose this may
serve me best.

IN WITNESS WHEREOF, I have hereunto set my hand this 12 th of JANUARY, 2017

at Pagadian City, Zamboanga del Sur, Philippines.

GEORGE ZAMORA
Affiant
Valid ID & No: 1361714
Issued by: PRC
Valid Until: August 6, 2018

SUBSCRIBED AND SWORN to before me this 12 th day of January, 2017 at

Pagadian City, Zamboanga del Sur, Philippines, Affiant personally appeared and exhibited to me
his above-cited Competent Evidence of Identity.

Doc. No. ________

Page No. ________
Book No. ________
Series of 201_