Affidavit of Completeness

I, _____________________________, Filipino citizen, of legal age, with address at

_________________________________________ and contact number at
____________________________________ state under oath that:

1. On ____________________________, I applied for ____________________________

with the government agency ______________________;

2. On _____________________, I submitted all the required documents in support of my

application as stated in the latest Citizen’s Charter of the government agency;

3. On ______________________, I paid all the required fees as for the said application in
accordance with the Citizen’s Charter of the government agency;

4. Since then and despite the submission of all required documents and payment of
required fees, my application still remains pending;

5. Thus, I am now applying for an Automatic Approval / Automatic Extension;

6. I voluntarily executed this Affidavit of Completeness to attest to all the facts stated herein
and in my application for Automatic Approval / Automatic Extension and that all the
documents I submitted in support thereof are genuine.

____________________________________
Signature over printed name of Complainant

Republic of the Philippines

City of _________________ S.S.

Subscribed and sworn to before me this ___________ day of _________________,

____________, affiant exhibited to me his ____________________________ as competent
evidence of identity which is issued by _________________________ and valid until
_____________________________.

Notary Public

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2020.