Republic of the Philippines
DEPATMENT OF EDUCATION
CARAGA Administrative Region
DIVISION OF SURIGAO DEL SUR
Tandag City
Omnibus Certification of Authenticity and Veracity of Documents
I, JEANESSA MATILDO TUMAMPOS, Filipino, of legal age, with permanent address at Purok
Anthorium, Magsaysay Street, Poblacion, Carmen, Surigao del Sur, after being sworn in accordance with
law, hereby depose and state that:
1. I am applying for TEACHER I at Carmen National Agricultural High School ,
Position School
Poblacion, Carmen, Surigao del Sur;
Address of School
2. I have submitted the following documents:
2.1 Checklist of Requirements with Omnibus Certification and waiver (Enclosure
No.2)
2.2 Written application addressed to the Schools Division Superintendent
2.3 Duly Accomplished Personal Data Sheet (CSC Form 212, Revised 2017) with
Passport size ID picture and Work Experience Sheet
2.4 Photocopy of LET Rating and Photocopy of valid and updated PRC License
2.5 Photocopy of Performance Evaluation
2.6 Photocopy of School Clearance
2.7 Duly signed Service Record
2.8 Certified true copy of Transcript of Records (TOR) with computed weighted
average rating
2.9 Certificate/s of Training Attended
2.10 Photocopy of Certification of Proficiency/recognition from recognized and
respectable relevant associations/organizations/guild
2.11 Photocopy of Voter’s ID and/or proof of residency
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 Surigao del Sur through the School Principal,
to verify the authenticity of the above-mentioned documents.
JEANESSA M. TUMAMPOS
Signature over printed name
____________________
Date
SUBSCRIBED AND SWORN to before me in City / Municipality of ________________ this
_____ day of __________, 2021, affiant exhibiting to me his/her Community Tax Certificate No.
________ issued on ______________ at ________________, Philippines.
_______________________
Notary Public
Carmen National Agricultural High School
PERTINENT PAPERS
Republic of the Philippines
DEPATMENT OF EDUCATION
CARAGA Administrative Region
DIVISION OF SURIGAO DEL SUR
Tandag City
Of
JEANESSA M. TUMAMPOS
For
APPLICATION TO TEACHER-I POSITION
In
JUNIOR HIGH SCHOOL
For the SSC
___New Applicant
___Old applicant
Tick whether applicant is taking the;
_______EPT
_______Interview
_______Demo Teaching
_______Skills Test/ Demonstration
___________
Chair
(Signature over Printed Name)
Republic of the Philippines
DEPATMENT OF EDUCATION
CARAGA Administrative Region
DIVISION OF SURIGAO DEL SUR
Tandag City