You are on page 1of 1

Republic of the Philippines)

Done: In the City of Baguio) s.s.


AFFIDAVIT
I, CLAIRE L. BATALAO, of legal age, married, Filipino citizen and a
resident of Central Tawang, La Trinidad, Benguet, Philippines, after having
been duly sworn to in accordance with law hereby depose and state:
1. That I am Nurse by profession with Professional License Number
0607035;
2. That being an employee of Baguio General Hospital and Medical
Center, Baguio City I was issued a Certification as Staff Nurse from
April 1, 2009 to August 15, 2012;
3. That I hereby attest to the authenticity and genuineness of the
document/s attached made an integral part;
4. That I hereby agree to be liable and answerable to perjury and/or
falsification of public documents in the event that the document/s
is/are found not in order;
5. That I am executing this affidavit to attest to the truth of all the
foregoing facts and circumstances and for all legal intents and
purposes it may serve.
IN WITNESS HEREOF, I have hereunto affixed my signature this 7 th day
of September 2012 at Baguio City, Philippines.

CLAIRE L. BATALAO
Affiant
PRC ID NO. 0607035
Valid Until: 7-14-2013
SUBSCRIBED AND SWORN to before me this 7th day of September 2012
at Baguio City, Philippines. Affiant personally appeared before me and
identified by me through her PRC License Card and to be the same person who
executed this instrument freely and willingly.
Doc. No. 366;
Page No. 75;
Book No. 3;
Series of 2012.

You might also like