AFFIDAVIT

I, _____________________, Filipino citizen, of legal age, single, and a resident

of _____________________________________, after having been duly sworn in
accordance with law, hereby depose and say that:

1. I attended the oath taking ceremony held on _______________ within

Philippine territory; and

2. I took a photograph/screenshot of the video conference showing both myself

and the En Banc proceedings during the ceremony.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of

July 2020 in __________, Philippines.

______________________________
Affiant

SUBSCRIBED AND SWORN before me this ___day of _______ 2020, by Ana

Carmela Erika V. Reblora who exhibited to me his Passport ID with Passport No.
P5778463A issued by the Department of Foreign Affairs.

Notary Public

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 20___.