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Republic of the Philippines )

Province of Quezon )
City of Lucena ) S.S.

AFFIDAVIT OF TERMINATION OF EMPLOYMENT

I, MANILYN ATRACTIVO HICKEN, Filipino, of legal age,


single/married, with residence/postal address at 77 Tourmaline Street,
Executive Village, Lucena City, Quezon, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am a bona fide member of the Social Security System (SSS)


with assigned SSS Number 04-1860702-4;

2. I was an employee of Reds Barns Farms with office address at


Lot No. 3771, Bryg. Igang, Lucban, Quezon from October 28,
2020 to December 31, 2021;

3. I was terminated from employment effective December 31, 2021


due to closing of said company;

4. I cannot secure a Notice of Termination from my employer; and

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


the foregoing statements and to support my application for
unemployment insurance or involuntary separation benefit.

IN WITNESS WHEREOF, I hereby set my hand and affix my


signature this January 16, 2022 at Lucena City, Philippines.

MANILYN ATRACTIVO HICKEN


AFFIANT

SUBSCRIBED AND SWORN to before me this January 16, 2022 at


Lucena City, Philippines, Affiant exhibiting to me his/her valid
government ID Passport P1593674B issued on May 7, 2019 at DFA,
Lucena City valid until May 6, 2029.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2022.
Republic of the Philippines )
Province of Quezon )
City of Lucena ) S.S.

AFFIDAVIT OF TERMINATION OF EMPLOYMENT

I, JULLIEN DIALA AVELLANEDA, Filipino, of legal age,


single/married, with residence/postal address at Montevideo ext.
University Village, Site, Brgy. Ibabang Dupay, Lucena City, after having
been sworn to in accordance with law, hereby depose and state that:

1. I am a bona fide member of the Social Security System (SSS)


with assigned SSS Number 04-1988787-2;

2. I was an employee of Reds Barns Farms with office address at


Lot No. 3771, Bryg. Igang, Lucban, Quezon from March 1, 2021
to December 31, 2021;

3. I was terminated from employment effective December 31, 2021


due to closing of said company;

4. I cannot secure a Notice of Termination from my employer; and

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


the foregoing statements and to support my application for
unemployment insurance or involuntary separation benefit.

IN WITNESS WHEREOF, I hereby set my hand and affix my


signature this January 16, 2022 at Lucena City, Philippines.

JULLIEN DIALA AVELLANEDA


AFFIANT

SUBSCRIBED AND SWORN to before me this January 16, 2022 at


Lucena City, Philippines, Affiant exhibiting to me his/her valid
government ID PAGIBIG 121161915345 issued on __________ at Lucena
City valid until 11/2028.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2022.

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