I, _____________________ , of legal age, single/married, Filipino
and presently residing at __________________________ , after having been sworn to in accordance with law, do hereby depose and state:
1. That I am one of the authors of
2. That as an author, I have signed a contract/agreement with and from time to time, the said contract/agreement is renewed;
3. Considering the travel restrictions and health hazard brough about
by the pandemic, I cannot personally go to the office of to sign any contract/agreement relative to my work as one of their authors;
4. That for my convenience and that of I do hereby give my consent
to allow them to use my e-signature in every contract or agreement that I will sign as if personally present. Attached is my signature which will be utilized for the said purpose.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
___ day of October 2021 herein Quezon City.
__________________ Affiant
SUBSCRIBED AND SWORN TO before me this ___ day of October