Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III- Central Luzon
Tarlac City Shool Division

OMNIBUS SWORN CERTIFICATION

AFFIDAVID

I’ LEO G. BALAGTAS, of legal age, single, Filipino and resident of Barangay Marugl, Capas, Tarlac,
after being duly sworn to in accordance with law, hereby depose and state.

1. That I am a qualified teacher I applicant in the province of Tarlac.

2. I am Executing this omnibus sworn certification to assure the authenticity and veracity of all the
following submitted to wit;
 Letter of Intent
 Personal Data Sheet
 Diploma
 Professional Identification Card issued by the Professional Regulatory Commission
 Official Transcrip of Record issued by the Tarlac State University
 Board Rating for Professional Teachers issued by the PRC
 Certification of Completion issued by the College of Education (College Retention
Exam)
 Certification of Recognition issued by the College of Education (Ethical Standards
for Education)
 Certification of Participation issued by the Department of Education (Training
Workshop on Indigenous peoples Education)
 Certification of Recognition issued by the College of Education (CLASSIFIED ADS)
 Certification of Recognition issued by the College of Education (DECAGON)
 Certification of Recognition issued by the College of Education (TRIPAD)
 Certification of Participation issued by the Department of Education (Unveiling the
Secrets; Philippine History)
 Certification issued by the PESO Municipality of Capas (SPES)
 Certification of Completion issued by the College of Education (Experiential
Learning)
 Certification issued by the Department of Education (IPEd)
 Certification of Participation issued by the Presidential Commission for the Urban
Poor
 NBI
3. I assumed full responsibility and accountability on the validity and authenticity of all the
documents and I understand that any violation will automatically disqualify me from the selection
process;
4. IN WITNESS WHEREOF, I have herunto set my hand this February 02, 2018 at Municipality
of Capas, Province of Tarlac, Philippines.

Leo G. Balagtas
Affiant

Subscribe And Sworn to before me this February 02, 2018 at Municipality of

Capas, Province of Tarlac, Philippines