I, DONG IN DANG, of legal age, Korean national, and a
resident of _____________________________, Cebu City, after having been sworn to in accordance with law, hereby depose and state - THAT:
1. I am the recipient of a Fedex Express package from Seoul, South
Korea to Cebu, Philippines, with Tracking Number 012345678 and Master Airway Bill (MAWB) No. 87654321, ETA or estimated time of arrival on November 11, 2015;
2. The contents of said package or parcel are exactly as described in
the Airway Bill, to wit: NEBULIZER + AIR FILTER CARTRIDGE - FOR AIR PURIFIER with total value for Customs at US$150.00, a copy of said Airway Bill and Commercial Invoice are attached herewith;
3. The said items are sent as part of my personal belongings in
connection with my business in the Philippines and for my prescription medical care and personal needs;
4. To my knowledge, it does not contain any illegal items or
contraband under Philippine law;
5. I herein attest to the truth of the foregoing facts.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I hereby affix my signature this 9th
day of November 2015 in Cebu City. DONG IN DANG
Affiant
SUBSCRIBED AND SWORN to before me, a Notary Public for and in
Cebu City, this 9th day of November 2015 at Cebu City, affiant exhibited to me his Korean Passport No. ABC12345678 which expires on ____________________.
Doc. No._____; Page No. _____; Book No._____; Series of 2015.