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FORM NO. 4 Affidavit of Support 1 WSe AFFIDAVIT OF SUPPORT 1, JUAN DELA CRUZ, Filipino, of legal age, single, with residence and postal address at , after having been sworn to in accordance with law, hereby deposes and states THAT: 1.1 am currently werking as a (Name of Private Company/Government Agency) at (Address). 1 am attaching my Certificate of Employment herewith as proof of my claim; 2. 1am the immediate relative of JUANA DELA CRUZ, likewise of legal age, single, and residing at : 3. Said JUANA DELA CRUZ is applying as a at 4. Lundertake to support her financially with all of expenses relative to her application with the said University and with all of her school- related expenses. 5. 1am executing this Affidavit to support the application of my sister, JUANA DELA CRUZ, to the said University and to declare the truth of the foregoing facts and for whatever legal purpose it may serve. IN WITNESS WHEREOF, | have hereunto affixed my signature tl ae day of _ » 2018: im Municipality/City. Affiant SUBSCRIBED AND SWORN TO BEFORE ME this __ day of ___, 2018 in Municipality/City, affiant exhibiting to me her SS aat__ Municipality /City, Philippines. Series of 2018.

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