REPUBLIC OF THE PHILIPPINES )

CITY OF MANILA ) S.S.

AFFIDAVIT OF DISCLOSURE OF NO RELATIONSHIP

I, Arah Bea V. De La Peña, of legal age, Filipino, and a resident of

1200 J. Bocobo Street, Unit 1107 Manila Executive Regency, Ermita
Manila, after having been duly sworn to in accordance with the law, hereby
depose and say that:

1. I am applying for the position of Court Legal Researcher in Regional

Trial Court, Branch 143, Makati City;

2. I declare that I am neither a relative by consanguinity nor affinity

within the third (3rd) civil degree of any incumbent employee in RTC
Branch 143 of Makati City; and

3. I am executing this Affidavit to attest the truth of the foregoing and for
whatever legal purpose/s this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______ day of ______________, __________________ at
________________ City.

__________________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of

_________________, Affiant exhibited to me her Passport, a government-
issued ID with number ___________________, bearing his photo and
signature, expiring on ____________________.

Doc. No. _________;

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