REPUBLIC OF THE PHILIPPINES )

) S.S.

AFFIDAVIT OF SERVICE

I, __________________________, of legal age, Filipino, with office address at

_____________________________________________________________________________________
___________________, do hereby state under oath that:
1. I am employed as an __________________________ (position) for
_____________________, and in the course of my duties, attempted to furnish copy of the
attached _____________________dated _____________________ to _____________________ on
_____________________. As said person was nowhere to be found at
____________________________________________________________, on __________________
(date of mailing), I deposited with the Post Office of __________________, as evidenced by
Registry Receipt No/s. __________, attached and indicated after the names of the addressee
with instructions to the postmaster to return the mail to sender after ten (10) days if
undelivered, a copy of the _____________________ dated __________________, to the following:
NAME Address

Reg. Receipt No. _______________

(attach receipt here)

2. In witness whereof I attest to the truth of all the foregoing, and that the same is
made in good faith and to the best of my personal knowledge.
To the truth of all the foregoing, I have signed this affidavit on this
__________________________ at _____________________________.

_______________________________
Affiant

Subscribed and sworn to before me this ________ day of _______________, by affiant

_____________________________ having exhibited his/her Competent ID No. ______________
issued at ______________, on ______________.

NOTARY PUBLIC
Doc. No.______;
Page No.______;
Book No.______;
Series of 2021.