Omnibus Sworn - Copy.docx

Republic of the Philippines Department of Education Region ___ SCHOOL DIVISION OF ________ _________________________

OMNIBUS SWORN STATEMENT REPUBLIC OF THE PHILIPPINES MASBATE CITY/ MUNICIPALITY OF ___________ AFFIDAVIT I, ______________________ (name of affiant, civil status, and nationality), after having been duly sworn in accordance with law, do hereby depose and state that: 1. Each of the documents submitted in satisfaction of the hiring guidelines for Teacher 1 position is an authentic copy of the original, complete and all statements and information provided therein are true and correct; 2. I am authorizing the members of the School Screening, Division Deputized Selection and Division Selection Committees or their duly authorized representative(s) to verify and validate all the documents submitted as to their completeness, veracity, accuracy and authenticity; 3. I am aware of and have undertaken the following responsibilities as a teacher- applicant: a. Carefully prepare all of the documents required in support of my application to ensure their completeness and correctness of the information found in therein, b. Assume full accountability on the validity and authenticity of the submitted documents and any violation will automatically disqualify me from the selection process.

IN WITNESS THEREOF, I have hereunto to set my hand this ____ day of ________________ 2019 at _________________________________________, Philippines.

___________________ Teacher-Applicant SUBSCRIBED AND SWORN to before me this _____ day of ________________ 2019 at___________________________, Philippines affiant exhibiting to me his/ her Community Tax Certificate no. ___________________ issued on __________________ at ______________________, Philippines.

__________________________________ Person Administering Oath Doc No. ______________ Book No. _____________ Page No. _____________ Series of. _____________