REPUBLIC OF THE PHILIPPINES)

MAKATI CITY
) S.S.

AFFIDAVIT
I, ______________, of legal age, Filipino, and with address at
____________, after having been duly sworn in accordance with law, hereby
depose and state:
1. I am the owner of BPI Savings Account No. __________.
2. The BPI Savings Account referred to above is, by its nature, nonpassbook accounts.
3. I do not own any bank account with an issued passbook.
4. I am executing this affidavit to attest to the veracity of the foregoing
and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I
_____________ in Makati City.

have

hereunto

set

my

hand

this

___________________
Affiant
SUBSCRIBED AND SWORN to before me this ________________,
affiant exhibited to me his ___________ issued on _______ by _________.
Doc. No. ___;
Page No. ___;
Book No. ___;
Series of 2014