Republic of the PhilippinesDEPARTMENT OF EDUCATIONCordillera Administrative RegionDIVISION OF BAGUIO CITY

OMNIBUS SWORN CERTIFICATION

Republic of the Philippines )Division of Baguio City )Quezon Hill National High School)Baguio City

A F F I D A V I T

I, KARRI ANN TONEL, of legal age, single, Filipino, and residing at 139 CHROME

ST. UPPER QUEZON HILL, BAGUIO CITY, after having been duly sworn in accordance

with law, do hereby depose and state that:

1. I am qualified Teacher I applicant at Baguio City National High School.

2. I am executing this omnibus sworn certification to assure authenticity and veracity of

all documents submitted;

3. I assure full responsibility and accountability on the validity and authenticity of the

documents submitted and I understand that any violation will automatically disqualify

me from the selection process.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

_____________, 2015 at Baguio City, Benguet, Philippines.

_________________________________

Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this ______ day of __________________,

2015. Affiant exhibiting to me his/her Community Tax Certificate No. _____________________

issued on _________________, at _____________________________, Philippines.

_________________________________

Republic of the PhilippinesDEPARTMENT OF EDUCATIONCordillera Administrative RegionDIVISION OF BAGUIO CITY

ACKNOWLEDGEMENT RECEIPT

This is to acknowledge receipt of the following documents for Teacher I position

submitted by Ms. KARRI ANN S. TONEL, an applicant of Baguio City National High School,

Baguio City.

_____ CSC Form 212 (Revised 2005) in two copies with latest 2x2 ID picture.

_____ Certified photocopy of PRC Certificate of Registration/License.

_____ Certified photocopy of rating obtained in the Licensure Examination for Teachers/

Professional Board Examination for Teachers.

_____ Certified true copy of Transcript of Record for Baccalaureate.

_____ Copies of Service Record, Performance Ratings and School Clearance for those

with teaching experience

_____ Certificates of specialized trainings, if any

_____ Certified copy of Voter’s ID

_____ NBI Clearance

_____ Omnibus Certification of Authenticity and Veracity of all documents submitted

Issued this ______ day of ______________, 2015 at Baguio City National High School,

Baguio City.

___________________________________________

Chairman/Member of the School Selection Committee