AFFIDAVIT OF ENROLLMENT IN THE

REGISTRY SYSTEM FOR BASIC SECTORS IN AGRICULTURE (RSBSA)

I, ____________________________________, Filipino, of legal age, and a resident of

Full Name
__________________________________________________________, do hereby swear and affirm that I am
Complete Address
currently or in process of enrolling my registration under the Registry System for Basic

Sectors in Agriculture (RSBSA) as a requirement of the Agrinegosyo for OFW Loan

Program/Kapital Access for Young Agripreneurs (KAYA) Loan Program. I understand that

the submission of the RSBSA registration with the control number will trigger the release

of the loan proceeds once my application has been approved by the partner lending

conduit.

Dated this _______day of _______________,20___

________________________________________
Signature

________________________________________
Printed Name