REPUBLIC OF THE PHILIPPINES )

CITY OF MABALACAT ) –s.s.

AFFIDAVIT OF EMPLOYMENT

I, (NAME), of legal age, Filipino, (status), with residence and postal address at
(Address), after having been duly sworn to in accordance with law, hereby depose and
say, that:

1. I am employed at the (EMPLOYER), (Address), (Date, from when to when.)

2. My duties and responsibilities as Interior Plant Foreman at the URDCO are the
following:

a) (insert duties)

b) ...

c) etc...

3. I have executed this affidavit to attest to the truth of the foregoing and to serve as
a supporting document is my Certificate of Employment issued by the Human
Resources Department of my company attesting to our relationship, and for
whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this (DATE) in Mabalacat

City, Philippines.

(AFFIANT)

Affiant

SUBSCRIBED AND SWORN to before me this (date) in Mabalacat City,

Philippines, who has satisfactorily proven to me his identity through the (ID), that s/he is
the same person who personally signed before me the foregoing Affidavit of
Employment and acknowledged that s/he executed the same.
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