REPUBLIC OF THE PHILIPPINES )

CITY OF CAGAYAN DE ORO ) S. S.

AFFIDAVIT

I, ___________, of legal age, Filipino, married, and with residence at

_______________, after having been duly sworn to in accordance with law, do hereby
depose and state that:

1. I applied for an educational assistance loan with Social Security System (SSS)
sometime October 2019;

2. I am presently engaged in on-call driving services as my source of income;

3. I am earning an average monthly income of PESOS: FIVE THOUSAND ONLY;

4. I am executing this affidavit to attest that the foregoing statements are true
and correct to the best of my knowledge, and to support my application for
educational assistance loan with SSS.

IN WITNESS WHEREOF, I have hereunto set my hand this 02 December 2019,

in _______, Philippines.

_________
Affiant

SUBSCRIBED AND SWORN to before me, this 02 December 2019 in ________, by the
affiant whom I have identified through a competent evidence of identity indicated below
his name.

Doc. No.____;
Page No.____;
Book No.____;
Series of 2019.