Republic of the Philippines

Department of Education
Region IV-A CALABARZON

DIVISION OF BATANGAS
Provincial Sports Complex, Bolbok, Batangas City

Bauan National Agricultural and Vocational High School

San Agustin, Bauan, Batangas
A F F I D A V I T

I,______________________________, of legal age,(marriage/ single)

______________Filipino, and residing at ___________________________, after having been
duly sworn in accordance with law, do hereby depose and state that:

1. I am qualified Teacher I applicant at Bauan National Agricultural and Vocational

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 here unto set my hand this________day of
________2014 at Bauan, Batangas, Philippines.

_________________________________
Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this ______day of ______________,2014.

Affiant exhibiting to me his/ her Community Tax Certificate No. _______________issued on
____________, at _________________________, Philippines