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Republic of the Philippines)

_______________________) S.S.
x-------------x

AFFIDAVIT

 I, ________________________, Filipino, of legal age, with office address at


________________________, after having been duly sworn to in accordance with
law, depose and say that:

1. I am the Corporate Secretary of ________________________. a corporation


duly organized and existing under and by virtue of the laws of the Philippines,
with principal office address at ________________________;

2. As Corporate Secretary, I am authorized to execute this affidavit;

3. That ________________________, with SSS No.


________________________, TIN ________________________, and
HDMF NO. ________________________, was previously employed by the
said corporation and voluntarily withdrew from his position;

4. That effective ________________________, ________________________


is no longer connected to and employed by
________________________.

5. In view of the foregoing I am executing this Affidavit to attest the


truth of the foregoing facts and for whatever legal purpose it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


__________________ at ______________________.

________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this


___________________in ________________________, Philippines, affiant having
exhibited to me her ________________________,.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 2020.

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