Macarang Jhs Omnibus.docx

I, Raymond Wagas Gamboa, Filipino, of legal age, with permanent address at BARANGAY MALABOBO, MANGATAREM, PANGASINAN, after being sworn in accordance with law, hereby depose and state that: I am applying for JHS Teacher I at Macarang National High School, Brgy. Macarang, Mangatarem, Pangasinan 1. I have submitted the following documents: 1.1 CSC Form 212 (Revised 2017) in two copies with the latest passport ID picture 1.2 Certified photocopy of PRC professional Identification card 1.3 Certified photocopy of rating obtained in the Licensure Examination Teacher/Professional Board Examination for Teachers 1.4 Certified copy of Transcript of Records and Certificate of General Weighted Average 1.5 Copies of Certificate of Employment and performance rating 1.6 Certificates of specialized seminar and training 1.7 Certificate of voter’s registration 1.8 NBI clearance 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, SDO Pangasinan 1 through the School Principal, to verify the authenticity of the above mentioned documents.

RAYMOND WAGAS GAMBOA Signature over printed name

02/04/2019 Date

Subscribe and sworn to before me this Alaminos City Pangasinan.

4TH

day of February, 20

19

at