Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
DIVISION OF CAGAYAN
Sanchez Mira District
January ___, 2021
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that MARIANNE C. HILARIO of CENTRO 1, SANCHEZ MIRA,
CAGAYAN had submitted a written application of his/her intent to join the assessment of Teacher
Applicants on JANUARY 17, 2020 together with the supporting documents:
a) Application letter
b) Certified photocopy of PRC Professional Identification Card
c) Certified photocopy of ratings obtained in the Licensure Examination for Teachers
d) Certified copy of Transcript of Records and Certificate of General Weighted Average
e) Certified photocopy of Diploma on Bachelor’s Degree
f) Copies of Service Record/Certificate of Employment/School Clearance/Performance Rating
g) Certificates of specialized trainings, if any
h) Certified copy of Voter’s ID and/or any proof of residency
i) NBI Clearance
j) Omnibus certification of authenticity and veracity of all documents submitted, signed by the
applicant
School Selection Committee
PERLITA M. BARRIENTOS REMA LYNNE B. MARCELINO
SPET - I T - III
PERPETUA B. DELA CRUZ, Ph.D ERWIN RARALIO
Master Teacher II Master Teacher I
MADELINE L. MALTO, Ph. D
School Principal III
Chairman
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
DIVISION OF CAGAYAN
Sanchez Mira District
OMNIBUS CERTIFICATION OF AUTHENTICITY AND VERACITY OF DOCUMENTS
I, MARIANNE C. HILARIO, Filipino, of legal age, with permanent address at CENTRO 1,
SANCHEZ MIRA, CAGAYAN after being sworn in accordance with law, hereby depose and state
that:
1. I Position School am
applying for TEACHER 1 at SANCHEZ MIRA CENTRAL ELEMENTARY SCHOOL,
Address of School CENTRO 1, SANCHEZ MIRA, CAGAYAN.
2. I have submitted the following documents:
2.1. CSC Form 212 (Revised 2017) in two copies with the latest 2x2 ID picture
2.2. Certified photocopy of PRC Professional Identification Card
2.3. Certified photocopy of ratings obtained in the Licensure Examination for Teachers
2.4. Certified copy of Transcript of Records and Certificate of General Weighted Average
2.5. Certified photocopy of Diploma on Bachelor’s Degree
2.6. Copies of Service Record/Certificate of Employment/School Clearance/Performance Rating
2.7. Certificates of specialized trainings, if any
2.8. Certified copy of Voter’s ID and/or any proof of residency
2.9. NBI Clearance
3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.
4. I understand that any violation will automatically disqualify me from the selection process.
5. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I
hereby authorize the Department of Education, Division of Cagayan through the school
principal, to verify the authenticity of the abovementioned documents.
MARIANNE C. HILARIO Signature over printed name
_______________________ Date
SUBSCRIBED AND SWORN TO before me this ____ day of January 2021 at Sanchez Mira, affiant
personally appeared exhibiting to me her respective PRC ID No. 1689974 issued on 01-05-2021 at
Professional Regulation Commission and acknowledged to me that the same is her own free and
voluntary act and deed.
Doc. No. _________
Page No. _________
Book No. ________
Series of 2021
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
DIVISION OF CAGAYAN
Sanchez Mira District
STARKID CHRISTIAN LEARNING CENTER
Certificate of employment
This is to certify that MARIANNE C. HILARIO, a resident of Centro 1,
Sanchez Mira, Cagayan had served as a Teacher of Starkid Christian Learning
Center from June 24, 2019 up to May 21, 2021.
This further certifies that Ms. Marianne C. Hilario is known to be an honest,
hardworking person, and efficient teacher.
This Certification is issued upon the request of above mentioned name for
whatever legal purposes it may serve.
Done this ___day of January 2021 at Starkid Christian Learning Center,
Sanchez Mira, Cagayan.
DEACONESS EVELYN A. AQUINO
School Administrator
STARKID CHRISTIAN LEARNING CENTER
SANCHEZ MIRA, CAGAYAN
SERVICE RECORD
Name: HILARIO, MARIANNE C. (if married woman, give also maiden name.)
(Surname (Given Name) (M.I)
Birth: JANUARY 15, 1998 CENTRO 1, SANCHEZ MIRA, CAGAYAN
(Date) (Place)
(Date herein should be checked from birth or baptismal certificate or some other reliable documents)
This is to certify that the employee named herein above actually rendered services in this office
as shown by the record below, each line of which is supported by the appointment and other papers
actually issued by this Office and approved by the authorities concerned.
Services Inclusive Dates Record of Appointment Office/Entity/Division
From To Designation Status Salary Station/Place Branch
Starkid Sanchez
Christian Mira,
06/24/2019 04/15/2020 Teacher Contractual ₱ 5,000.00
Learning Cagayan
Center
Starkid Sanchez
Christian Mira,
08/24/2020 05/21/2021 Teacher Contractual ₱ 4,000.00
Learning Cagayan
Center
Certified correct:
DEACONESS EVELYN A. AQUINO
School Administrator