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Republic of the Philippines

)
City of Bacoor, Cavite
)
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AFFIDAVIT OF LIABILITY
I, ______________________________________, of legal age, Filipino Citizen,
single/married/widow
and
a
resident
of
_______________________________________________________, after having been
sworn to in accordance with the law depose and state THAT:
1) I am employed as a truck driver on an on-call basis under APOLONIO DELA CRUZ’
trucking business;
2) My compensation is on a per trip basis only;
3) My main responsibility is to carefully deliver all the cargo enclosed in the truck I am
assigned, to its respective destinations, free from neither breakage nor damage;
4) I undertake to carry the responsibilities given to me with care and proper diligence all
the time;
5)

If by chance, an untoward and unexpected incident happens leading to the
deterioration and damage of whatever goods or cargo have been assigned to me to
deliver, I likewise agree to share the responsibility of compensating the personality
whose goods and cargo are damaged with my employer;

6) I, together with my employer, will tale account to all the damages incurred from any
untoward ad unexpected incident that will arise out of my capacity;
7) I further undertake that I will not evade with any of my responsibilities arising from this
Affidavit;
8) I am executing this to attest the truth of the foregoing, and for whatever legal purpose/s
it may serve.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of
______________ in City of Bacoor, Cavite.
_________________________
Affiant
SUBSCRIBED AD SWORN TO before me this ___ day of ____________ in City of
Bacoor, Cavite, affiant exhibiting to me his competent evidence of identity by way of his Driver’s
License No. ________________, valid until ___________.

NOTARY PUBLIC