I, ____________________, Filipino, of legal age, and resident of ____________________,
having been duly sworn do hereby depose and say that:
1. I am not gainfully employed and do not earn income;
2. I am not currently employed with any person, natural or juridical; 3. I execute this affidavit to attest to the truth of the foregoing and for whatever legal purpose this may serve me.
IN WITNESS WHEREOF, I have hereunto set my hand this ____________________ in
____________________.
____________________ Affiant
SUBSCRIBED AND SWORN to before me this ____________________ in the City of
____________________, affiant exhibiting to me her SSS ID No. _______________.