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REPUBLIC OF THE PHILIPPINES )

_____________________ ) S. s.

AFFIDAVIT OF AUTHENTICITY

I, _______________________, Filipino, of legal age,


single/married and with address at
_____________________________________, after having duly sworn to
in accordance with law, hereby depose, state, and warrant that the
following documents submitted are authentic and the data/facts contained
therein are true and correct of my own personal knowledge, namely:

1. x x x;
2. x x x;
3. x x x; and
4. x x x.

The undersigned further undertakes to allow the recipient, or any of


its authorized representatives to verify any and all of the aforementioned
documents herewith submitted.

Finally, I hereby DECLARE and ASSUME full responsibility for any


falsity or misrepresentation of any material fact in the contents of the
above-mentioned documents.

I am executing this affidavit to attest to the truth of the foregoing


statements and for whatever purpose this may legally serve.

FURTHER AFFIANT SAYETH NAUGHT.

____________________
Affiant

SUBSCRIBED AND SWORN to before me on this


__________________, affiant exhibiting to me his/her competent evidence
of identity by way of ID No. _________________ issued by the
_________________ on _________________.

Doc. No. __;


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

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