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
PRC ID. NO. 0065685

SUBSCRIBED AND SWORN to before me this _________________at Tarlac

City, Philippines.

Doc. No. _________;

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