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Sworn Statement (Application)

John Michael Ian Cui-Torres is applying for a TEACHER I position at Bobon School for Philippine Craftsmen in Bobon, Northern Samar. He has submitted the required documents for the application, including CSC Form 212, a certified copy of his PRC professional identification card, certified copies of his ratings from the Licensure Examination for Teachers and transcript of records, certificates of specialized training, a voter or residency ID, an NBI clearance, and an omnibus certification of authenticity for all documents. He has sworn under oath that the documents submitted are true and authentic and has authorized the school selection committee to verify the documents.

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84 views1 page

Sworn Statement (Application)

John Michael Ian Cui-Torres is applying for a TEACHER I position at Bobon School for Philippine Craftsmen in Bobon, Northern Samar. He has submitted the required documents for the application, including CSC Form 212, a certified copy of his PRC professional identification card, certified copies of his ratings from the Licensure Examination for Teachers and transcript of records, certificates of specialized training, a voter or residency ID, an NBI clearance, and an omnibus certification of authenticity for all documents. He has sworn under oath that the documents submitted are true and authentic and has authorized the school selection committee to verify the documents.

Uploaded by

Feelippines
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILLIPINES )

PROVINCE OF NORTHERN SAMAR )S.S.


MUNICIPALITY OF CATARMAN )

SWORN STATEMENT
WITH CERTIFICATION OF VERACITY OF DOCUMENTS SUBMITTED

I, JOHN MICHAEL IAN CUI-TORRES, of legal age, Filipino and with


residence at Brgy. Santa Clara, Bobon, Northern Samar, Philippines, after
having been duly sworn in accordance with law, do hereby depose and state:

That I am applying for TEACHER I position at Bobon School for


Philippine Craftsmen, Bobon, Northern Samar;

That I have submitted the following documents:

a. CSC Form 212 (revised 2017) in two copies with the latest 2x2 ID
picture;
b. Certified photocopy of PRC professional identification card;
c. Certified photocopy of ratings obtained in the Licensure Examination
for Teachers/Professional Board Examination for Teachers;
d. Certified copy of transcript of records for baccalaureate course with
computed weighted ratings or GWA- issued by the school;
e. Certificates of specialized training;
f. Certified copy of voter’s ID and/or any proof of residency as deemed
acceptable by the School Screening Committee;
g. NBI clearance
h. Omnibus Certification of authenticity and veracity of all documents
submitted signed by the applicant.

That I am executing the foregoing instrument to support my application


for TEACHER I position and to attest the veracity of the foregoing statement.
That I am authorizing the School Selection Committee or its duly authorized
representatives(s) to verify or examine all the documents submitted;

IN WITNESS WHEREOF, I have hereunto set my hand this


_______________, in Catarman, Northern Samar, Philippines.

JOHN MICHAEL IAN CUI-TORRES


Affiant

SUBSCRIBED AND SWORN to before me this ____________, in


Catarman, Northern Samar, Philippines, by affiant who is known to me to be
the same person who executed and personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of
the contents of said instrument.

Doc. No. _______;


Page No. _______;
Series of 2019.

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