Omnibus Sample
Omnibus Sample
Omnibus Sample
DEPARTMENT OF EDUCATION
Region III
SCHOOLS DIVISION OFFICE OF CABANATUAN
Cabanatuan City
______________________________
Signature over printed name
______________________________
Date
SUBSCRIBED AND SWORN TO before me this _______ day of _____________, 2018, affiant
exhibiting his/her Professional Identification Card No. _________________ issued on
_______________ at __________________________, Philippines.
___________________________
Notary Public