Omnibus-Sworn-Statement Masbate
Omnibus-Sworn-Statement Masbate
Omnibus-Sworn-Statement Masbate
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE
Omnibus Certification
I, _________________________________________ , Filipino, legal age, with permanent
address at ______________________________________, assumed the duties and responsibilities as
____________________________________after being sworn in accordance with law, hereby depose and
state that:
2. I am executing this certification to attest to the authenticity and veracity of all documents
submitted.
4. I agree that any misrepresentation made in this document and its attachment shall cause the
filling of administrative/ criminal case/s against me.
__________________________________
SIGNATURE OVER PRINTED NAME
________________
Date
_______________________________
Person Administering Oath
Republic of the Philippines
Department of Education
Region V Bicol
SCHOOLS DIVISION OF MASBATE PROVINCE
MALBUG NATIONAL HIGH SCHOOL
Malbug, Cawayan, Masbate
This is to certify that CHARIS G. VASQUEZ had rendered her first day of
service on AUGUST 22, 2022 as substitute teacher of Mrs. Hanelyn F. Balatucan who is
on SICK LEAVE assigned at Malbug National High School.
This certification is issued upon the request of the above-mentioned person for
whatever legal purposes it may serve her best.
Given this 23rd day of SEPTEMBER , 2022 at Malbug National High School ,
Malbug, Cawayan, Masbate.
NANCY A. BALDIA
School Principal I
Republic of the Philippines
Department of Education
Region V Bicol
SCHOOLS DIVISION OF MASBATE PROVINCE
MALBUG NATIONAL HIGH SCHOOL
Malbug, Cawayan, Masbate
Issued this 23rd day of SEPTEMBER , 2022 at Malbug National High School ,
Malbug, Cawayan, Masbate.
NANCY A. BALDIA
School Principal I
Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE
Rodeo Road, Masbate City
September 22,2022
Madam:
I would like to endorse Mrs. Charis G. Vasquez as substitute teacher of Mrs. Hanelyn F.
Balatucan, provisional teacher in Senior High School Department, Malbug National High School,
who is under sick leave for one month due to medication.
I hope this request merits your approval. Thank you and more power.
NANCY A. BALDIA
Principal I
APPROVED:
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A
BJ CK D
E F G H
E F G H