Republic of the Philippines
DEPARTMENT OF EDUCATION
Region VII
SCHOOLS DIVISION OF TOLEDO
OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF
DOCUMENTS
I, ____ PAMELA B. JIMENEZ _______ , Filipino, of legal age, with permanent address
at _ _BULONGAN, TOLEDO CITY CEBU__, after being sworn in accordance with law, hereby depose
and state that:
1. I have submitted the following documents:
1.1 Letter of Intent
1.2 CSC form 212 (Revised 2018) in two copies with the latest 2x2 ID
picture
1.3 Photocopy of PRC Professional Identification Card
1.4 Photocopy of TOR and diploma
1.5 Photocopy of Service Record or Certificate of Employment
1.6 Photocopy of Certificates of relevant specialized training
1.7 CertifiedCertification
Voter’s true copy of Voter’s Certificate
1.9 Photocopy of NBI Clearance
1.10 Omnibus Sworn Statement
1.11 Checklist of Requirements
1.12 Accomplished Privacy Consent Form
2. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.
3. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I
hereby authorize the Department of Education, Division of _TOLEDO CITY_, to verify the
authenticity of the abovementioned documents.
__PAMELA B. JIMENEZ____
Signature over printed name
MAY 03, 2023
Date
SUBSCRIBE AND SWORN TO before me this __ ___ day of _ __ , 2023 , affiant
exhibiting to me his/her PRC Identification Card No. __1858263 issued on 01/20/2020 at
____CebuCity__ , Philippines.
_____________________________________
Notary Public
