OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF

DOCUMENTS

I, DIANE L. MENDEZ, Filipino, of legal age, with permanent address at 326-B A.H. LACSON
STREET SAMPALOC, MANILA, after being sworn in accordance with law, hereby depose and state
that:

1. I am applying for SENIOR HIGH SCHOOL TEACHER at CARLOS L. ALBERT HIGH

Position Name of School
SCHOOL,
300 SAN RAFAEL STREET SAN MIGUEL, MANILA;
Address of School

2. I have submitted the following documents:

2.1 Letter of Intent (Cover letter)

2.2 CSC Form 212 (Revised 2017) in two copies with recent 2x2 ID Picture
2.3 Work Experience Sheet
2.4 Copy of PRC professional identification card
2.5 Copy of ratings obtained in the Licensure Examination for Teachers (LET)
2.6 Copy of transcript of record (Bachelor and Masters)
2.7 Letter about my Service Record/Certificate of Employment
2.8 Copy of Barangay Clearance / Voter’s ID claim stub
2.9 Copy of NBI Clearance
2.10 Omnibus certification of authenticity and veracity of all documents
2.10 Resume
2.11 Cedula

3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.

4. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I

hereby authorize the Department of Education, Division of QUEZON CITY , to
verify the authenticity of the abovementioned documents.

DIANE L. MENDEZ
Signature over printed name

12/21/2018
Date

SUBSCRIBED AND SWORN to before me in City / Municipality ________________ this _____ day of
__________, 2015, affiant exhibiting to me his/her Community Tax Certificate No. ________ issued on
______________ at ________________, Philippines.

__________________________
Notary Public