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AFFIDAVIT OF AUTHENTICATION

I, (____) ., of legal age, married, and with residence address at (____) , under oath,
state that:
THAT I AM THE (____) of (____) , a company organized, existing and registered
under Philippine Laws with offices located at (____) .

THAT I AM THE OWNER OF THE FOLLOWING CERTIFICATES:

1. (____)
2. (____)
3. (____)
4. (____)
5. (____)

THAT I AM I am attesting the genuineness and authenticity of the abovementioned


Documents/Certificates.
In view of the foregoing, I am executing this Affidavit to attest to the truth of the foregoing
facts and to use the same for whatever legal purpose it may serve.

Affiant further sayeth naught.

IN WITNESS WHEREOF, I hereunto affix my signature this (____) day of (____),


(____) .

(____)
Affiant

WITNESSES

Signature Over Printed Name Signature Over Printed Name

ACKNOWLEDGMENT

Republic of the Philippines)


_____________________ ) S.S.
BEFORE ME, a Notary Public, for and in ______________________, this
_______ day of _________________________ personally appeared:

Name CTC/Voter’s ID/PRC Number Issued On/Issued At / Expires On

(____) (____) (____)

known to me to be the same person who executed the foregoing instrument and
hereby acknowledged to me that the same is his free and voluntary act and deed.

This instrument consisting of two (2) pages, including this page on which
this acknowledgment is written refers to an Affidavit of Authentication attesting the
genuineness of the photocopies / xerox copies of the attached documents and or
certifications to be the true, exact, and complete copies of the originals documents
and or certifications issued to him and has been signed by him and his witnesses and
sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No. ____


Page No. ____
Book No. ____
Series of 201____

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