Republic of the Philippines )

Camiling, Tarlac ) S.S

AFFIDAVIT OF PROOF OF INCOME

We, Spouses ___________ and ______________, of legal ages, Filipino
citizens, and residents of ___________________, Philippines, after having been
duly sworn to in accordance with law, do hereby depose and state THAT:

1. We are the biological parents of _________ (_____, for brevity), a

Second Year College Student at the _______________;

2. In order to continue his studies, _______ intends to apply for a

Scholarship offered by their school;

3. I (_______) work as a laborer with an average daily income of

Php250.00. On the other hand, I (______) work as a laundrywoman
with an average weekly income of Php200.00. Our income is barely
enough for the basic needs of our family. We have no other source of
income to sustain our needs especially the educational expenses of our
son _________;

4. We are executing this Affidavit to declare our income as we cannot

provide any income documentation as our jobs are merely temporary
and thus, irregular source of income;

5. Finally, we are executing this affidavit to support the application of

______ for his Scholarship offered by their school and to attest to the
truth of the foregoing statements and for legal intents and purposes it
may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this

____ of _________, 2020, at ______________, Philippines.

___________________ ___________________
Pro. Driver’s License Card Voter Certification with VIN: ____-
License No.: _____________ ______________________
Valid until: _______________ COMELEC, ___________, _______

SUBSCRIBED AND SWORN to before me on the date and place

indicated above. Affiants exhibited to me their respective competent evidence of
their identities indicated below their names.