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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF CAMARINES SUR) S. S.


MUNICIPALITY OF PILI ………. )

AFFIDAVIT OF NO PENDING CASE

I, EDGAR A. CUYA, of legal old, married, and resident of Villa


Corozan Subdivision, Del Rosario, Naga City, under oath, declare
that:

1. I am an employee of the Provincial Government of Camarines


Sur, assigned at General Services Office Capitol Compound,
Cadlan, Pili, Camarines Sur;

2. During my employment with the Provincial Government of


Camarines Sur, I was never charged of any civil,
administrative nor criminal case in any court, office or
agency, such as the Ombudsman;

3. During my employment with the Provincial Government of


Camarines Sur, I did not commit any misdemeanor or
wrongdoings and was never charge of any administrative nor
criminal case;

4. There is no administrative or criminal case filed against me


that is pending before any court, office or tribunal;

5. I am executing this affidavit to attest to the truth of the


foregoing and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


3rd day of July 2020 at Pili, Camarines Sur, Philippines.

EDGAR A. CUYA
Affiant
PRC ID 0035809

SUBSCRIBED AND SWORN to before me this 3rd day of July


2020 by affiant, personally known to me to be the same person
who executed the foregoing instrument and signed the same in my
presence and acknowledged to me that the same is his voluntary
act and deed.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF CAMARINES SUR) S. S.
MUNICIPALITY OF PILI ………. )

AFFIDAVIT OF NO PENDING CASE


I, _______________________________________________, _______ years
old, married, and resident of _________________________________________,
Camarines Sur, under oath, declare that:

1. I am _________________________________________________________;

2. I was never charged of any administrative nor criminal case:

3. During my years of existence, I did not commit any misdemeanor or


wrongdoings and was never charge of any administrative, civil nor criminal case;

4. There is no administrative, civil or criminal case filed against me that is


pending before any court, office or tribunal;

5. I am executing this affidavit to attest to the truth of the foregoing and for the
purpose of change of entry of my gender before the Local Civil Registry of Pili,
Camarines Sur.

IN WITNESS WHEREOF, I have hereunto set my hand this


_______________________________________at Pili, Camarines Sur, Philippines.

_______________________________
Affiant
ID NO. ______________________

SUBSCRIBED AND SWORN to before me this _____________________


with affiant, personally known to me to be the same person who executed the
foregoing instrument and signed the same in my presence and acknowledged to me
that the same is his/her voluntary act and deed

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