REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAMARINES NORTE )S.S.

MUNICIPALITY OF )
x---------------------------------------------------x

AFFIDAVIT OF DENIAL

I, _______________, of legal age, married, Filipino citizen and with residence

and postal address at __________________, after having been duly sworn to in
accordance with law, hereby depose and say:

1. That I am applying for a loan with the Bank of Makati, ____________ Branch,
_________________;

2. That during the processing of my loan application, it was found out that
there is another ______________ who was able to avail of a loan from the said bank;

3. That I could attest to the fact that I am not the same ______________ who
was charged in court and that I have never been charged nor convicted of any offense
involving violation of loan transactions;

4. That I could further attest to the fact that I have never availed of any loan
nor apply for any credit cards from the said bank or any banking institutions and that I
was not the one who availed such existing loan granted to the said
____________________

5. That I executed this affidavit in good faith for the information of the Bank of
Makati in connection with my application for a loan;

5. That all the statements above are true and correct to the best of my
knowledge and belief.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of May 2018 at
____________.

______________________
Affiant

SUBSCRIBED AND SWORN to before me this 17th day of May 2018 at

_________________ affiant exhibited to me his ID #_______________.

Doc. No._________;
Page No._________;
Book No._________;
Series of 2 0 1 8 .