REPUBLIC OF THE PHILIPPINES )

CITY OF CABUYAO ) S s.
PROVINCE OF LAGUNA )

AFFIDAVIT

I, PERCY JOHN DULAY LIZA, of legal age, Filipino, married, and with residence
and postal address at Block 63, Lot 51, Southville 1, Brgy. Banay-Banay, City of
Cabuyao, Laguna, after having been duly sworn in accordance with law, hereby depose
and state:

That I am member of Pag-Ibig/HDMF with number 700237583409 and I had

been employed in the following company/companies:
Company Position Period
Metro Eye Security Inc. Security Guard December 2004 to
33 JQ Bldg. Tomas Morato, Avenue, Quezon January 2005
City

That I hereby certify under oath the forgoing facts are true and correct based on
my personal knowledge and on authentic records;

That I can no longer secure Certificate of Employment since the company is

already closed;

That I am executing this affidavit to attest to the truth of the foregoing facts and
for whatever legal purposes may it serve;

IN WITNESS WHEREOF, I have hereunto affixed my signature this-

____________________ at Cabuyao City, Laguna.

PERCY JOHN DULAY

LIZA Affiant

SUBSCRIBED AND SWORN to before me, on the above-mentioned date at

Cabuyao City, Laguna, by the Affiant whom I have identified through competent evidence
of identity and who exhibited her Driver’s License ID Card No. N03-07-010835.

DOC. NO. _____;

PAGE NO. _____;
BOOK NO. _____;
SERIES OF 2018