Republic of the Philippines

DEPARTMENT OF EDUCATION
Division of Zamboanga Sibugay
Field Office of Payao

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY

OF DOCUMENTS
I, MARIEL B. LOFRANCO, Filipino, of legal age, with permanent address at Purok 3, Poblacion,
Payao, Zamboanga Sibugay after being sworn in accordance with law, hereby depose and state that:

1. I am applying for a T1 position at Payao National High School,

School

Poblacion , Payao Zamboanga Sibugay

Address of School Municipality Province

that I understood well the DepEd Order 14, s. 2014 (Hiring Guidelines for T1
position)

2. I have submitted the following documents:

a. Application Letter
b. CSC Form 212 (Revised 2005) in two copies with latest passport size ID picture
c. Certified Photocopy of PRC Certificate of Registration/License
d. Certified Photocopy of Ratings Obtained in the LET/PBET
e. Certified copies of Transcript of Record for Baccalaureate Course
f. Copies of Service Record, Performance Rating & School Clearance for those with
teaching experience
g. Certificates of specialized training, if any;
h. Voter’s Certification / Voter’s ID / or any proof of Residency
i. NBI Clearance
j. Omnibus Certification of Authenticity and Veracity of all documents submitted
k. Certificate of Residency
l. Authenticated Birth Certificate and Marriage Certificate (if married)

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, SDO Zamboanga Sibugay through the School Head, to
verify the authenticity of the above-mentioned documents.

MARIEL B. LOFRANCO
Signature over printed name

01-30 -2019
Date

SUBSCRIBED AND SWORN TO before me this 30th day of January 2019, affiant exhibiting to me her
Community Tax Certificate No.02084196 issued on January 07, 2019 at Payao, Zamboanga Sibugay,
Philippines.
______________________
Notary Public

Republic of the Philippines

DEPARTMENT OF EDUCATION
 Division of Zamboanga Sibugay
Field Office of Payao

OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY

OF DOCUMENTS
I, MARIEL B. LOFRANCO, Filipino, of legal age, with permanent address at Purok 3, Poblacion,
Payao, Zamboanga Sibugay after being sworn in accordance with law, hereby depose and state that:

2. I am applying for a SHS position at Payao National High School,

School

Poblacion , Payao Zamboanga Sibugay

Address of School Municipality Province

that I understood well the DepEd Order 3, s. 2016 (Hiring Guidelines for Senior
High School (SHS) Teaching Position)

2. I have submitted the following documents:

a. Application Letter
b. Letter of Intent
c. CSC Form 212 (Revised 2005) in two copies with latest passport size ID picture
d. Certified Photocopy of PRC Certificate of Registration/License
e. Certified Photocopy of Ratings Obtained in the LET/PBET
f. Certified copies of Transcript of Record for Baccalaureate Course
g. Certificates of specialized training, if any;
h. Voter’s Certification / Voter’s ID / or any proof of Residency
i. NBI Clearance
J. Omnibus Certification of Authenticity and Veracity of all documents submitted
k. Certificate of Residency
l. Authenticated Birth Certificate and Marriage Certificate (if married)

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, SDO Zamboanga Sibugay through the School Head, to
verify the authenticity of the above-mentioned documents.

MARIEL B. LOFRANCO
Signature over printed name

01-30-2019
Date

SUBSCRIBED AND SWORN TO before me this 30th day of January 2019, affiant exhibiting to me her
Community Tax Certificate No.02084196 issued on January 07, 2019 at Payao, Zamboanga Sibugay,
Philippines.
______________________
Notary Public