REPUBLIC OF THE PHILIPPINES)

TARLAC CITY…….. ) S.S.

AFFIDAVIT OF GENUINE DOCUMENT

That I, ELEANNA FATIMA L. FACUNLA, of legal age, Filipino citizen,

single, resident of and with postal address at 738 10th St., Brgy. Balete,
Tarlac City, Philippines, After having been duly sworn to in accordance with
law, do hereby depose and say;
1. That I am in possession a CERTIFICATION from Ramos General
Hospital;
2. That I was issued a CERTIFICATION from Ramos General
Hospital, Office of the President, stating that I was a bonafide
STAFF PHARMACIST on the said hospital;

3. That said documents is a genuine document having been lawfully

issued by the Office of the President of Ramos General Hospital;

4. That the contents therein are true and correct without any
misrepresentations.

5. That I am executing this affidavit to attest the truthfulness of the

above – stated facts and for whatever legal purpose it may serve
her best.

IN WITNESS WHEREOF, I have hereunto set my hand this

___________________, at Tarlac City, Philippines.

ELEANNA FATIMA L. FACUNLA

Affiant

SUBSCRIBED AND SWORN to before me this

_________________at Tarlac City, Philippines.

Doc. No. _________;

Page No._________;
Book No._________;
Series of 2018