REPUBLIC OF THE PHILIPPINES )
Pagadian City, Zamboanga del Sur ) S.S.
x------------------------------------------------/
OMNIBUS AFFIDAVIT
(RE: AUTEHENTECATION OF PERSONAL DOCUMENTS FOR TEACHER APPLICANTS)
I, ____________________________________________, Filipino citizen, ________ years old,
single/married/widow/widower, and a resident of __________________________________________________
Philippines after having been duly sworn to an oath do hereby depose and state :
1. That I am a qualified Teacher applicant for Pagadian City and the Province of
Zamboanga del Sur, Philippines;
2. In connection thereto, I intend to submit the following documents in support of my
application and in fulfillment of the requirements for the Teacher ___ position based
on the reform actions in Basic Education Sector Reform Agenda (BESRA), to wit:
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
3. That the above-mention documents are true and authentic copies from the original
thereof and that all the information provided therein are true and correct; and
4. That I am executing this affidavit as my honest declaration of the foregoing narration
of facts in order to support my foregoing application before the Office of the
Department of Education (DepEd) for Pagadian City and Zamboanga del Sur and for
whatever legal purpose this may serve me best.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _________________,
2018 at Pagadian City, Zamboanga del Sur, Philippines.
_____________________________
Affiant
Valid ID & No.:_________________________
Issued By: ____________________________
Valid Until: ___________________________
SUBSCRIBED AND SWORN to before me on this ____day of ____________________, 2018 at
Pagadian City, Zamboanga del Sur , Philippines. Affiant personally appeared and exhibits to me his/her
above-cited Competent Evidence of Identity.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2017