DepEd Omnibus Certification of Authenticity and Veracity of Documents

The Omnibus Certification of Authenticity and Veracity of Documents is a sworn statement for applicants to a position in a DepEd school. In it, you list the documents you submitted with your application, state that they are genuine and true, and authorize the DepEd Schools Division to verify them. This page shows the full text of the form and offers two editable Word versions to download.

On this page 6 sections

What this certification does

By signing the form, the applicant:

• States the position applied for and the school where it is.
• Lists the documents submitted with the application.
• Attests to the authenticity and veracity of all submitted documents. Authenticity means the documents are genuine; veracity means what they say is true.
• Authorizes the Department of Education, through the named Schools Division, to verify the listed documents.

The form ends with a notarial section, so it is signed and sworn before a notary public.

Documents listed in the certification

The form lists these documents as submitted with the application:

1. CSC Form 212 (revised 2017), the Personal Data Sheet, in two copies with the latest 2×2 ID picture
2. Certified photocopy of PRC professional identification card
3. Certified photocopy of ratings obtained in the Professional Board Examination for Teachers
4. Certified copy of transcript of records
5. Copies of service record or certificate of employment
6. Certificates of specialized trainings
7. Certified copy of Voter’s ID and/or any proof of residency
8. NBI Clearance

Full text of the form

I, [Your Name], Filipino, of legal age, with permanent address at [Your Address], after being sworn in accordance with law, hereby depose and state that:

1. I am applying for [Position] at [Name of School], [Address of School].
2. I have submitted the following documents:
   • 2.1 CSC Form 212 (revised 2017) in two copies with the latest 2×2 ID picture
   • 2.2 Certified photocopy of PRC professional identification card
   • 2.3 Certified photocopy of ratings obtained in the Professional Board Examination for Teachers
   • 2.4 Certified copy of transcript of records
   • 2.5 Copies of service record / certificate of employment
   • 2.6 Certificates of specialized trainings
   • 2.7 Certified copy of Voter’s ID and/or any proof of residency
   • 2.8 NBI Clearance
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 [Division], to verify the authenticity of the above-mentioned documents.

[Signature over printed name]

[Date]

SUBSCRIBED AND SWORN to before me in City/Municipality [City/Municipality] this [day] day of [month, year], affiant exhibiting to me his/her Community Tax Certificate No. [number] issued on [date] at [place], Philippines.

[Notary Public]

How to fill out the form

1. Download one of the Word versions below and open it on a computer or phone.
2. Type your full name and permanent address.
3. Fill in the position you are applying for, the name of the school, and the school’s address.
4. Check that the list of documents matches what you are actually submitting.
5. Write the name of the DepEd Schools Division that will verify your documents.
6. Print the form, but do not sign it yet. Sign it over your printed name in front of a notary public, and bring your Community Tax Certificate, since the notarial section asks for its number, date, and place of issue.

Download the Omnibus Certification

1. Omnibus Certification of Authenticity and Veracity of Documents (Version 1, Word)
2. Omnibus Certification of Authenticity and Veracity of Documents (Version 2, Word)

Frequently asked questions