OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF
DOCUMENTS
I, ALYSSA MARIE QUINDICA NICOLAS, Filipino, of legal age, with permanent
address at Brgy. 5A Pagsanahan Sur, Badoc, Ilocos Norte, after being sworn in accordance with
law, hereby depose and state that:
1. I am applying for Administrative Assistant III at Schools Division of Ilocos Norte, Laoag City;
2. I have submitted the following documents:
2 2.1 CSC Form 212 (revised 2017) with work experience sheet.
.
1
2 2.2 Chotocopy of PRC professional identification card
.
2
2 2.3 Photocopy of ratings obtained in the Professional Board Examination
. for Teachers
3
2 2.4 Photocopy of transcript of records
.
4
2 2.5 Photocopy of Diploma
.
5
2 2.6 Copies of service record / certificate of employment
.
6
2 2.7 Certificates of specialized trainings
.
7
2 2.8 Certified copy of Voter’s ID and /or any proof of residency
. 2.9 NBI Clearance
8
2
.
9
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 Ilocos Norte, to verify the authenticity
of the abovementioned documents.
__________________________
Signature over printed name
__________________________
Date
SUBSCRIBED AND SWORN to before me in City / Municipality ________________ this _____
day of ____________________, affiant exhibiting to me his/her PRC No. 1566593 valid until July
25, 2023.