REPUBLIC OF THE PHILIPPINES)

IN LAOAG CITY )S.S.

AFFIDAVIT OF INCOME

I, of legal age, Filipino, and with residence at, ILOCOS NORTE, after having been duly
sworn to in accordance with the law depose and state;
1. That I am the Father of, an applicant for scholarship at
2. That I am currently working a with a monthly income of Six Thousand Pesos (PHP.
6,000.00);

3. That I possess all the capabilities and qualities of a qualified applicant and hereby
declared that I shall adhere with the rules and regulations of any private/government
institution in connection for my daughter’s application for scholarship at HOLY
ANGEL SCHOOL OF CALOOCAN CITY INC.

4. That this affidavit is being executed to attest to the veracity of the foregoing facts and
for whatever legal purposes this may serve.

FURTHER AFFIANT SAYETH NAUGHT.

AFFIANT

SUBSCRIBED AND SWORN to before me this ____day of____ Ilocos Norte. Affiant presented
his identification card and that undersigned is satisfied of the identity of the person and that she
is the person who voluntarily prepared this document.

Doc. No
Page No. NOTARY PUBLIC
Book No.
Series of 2020