REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ALBAY ) S.S.

TABACO CITY )
x------------------------------------------x

AFFIDAVIT OF LOW INCOME

We, Spouses DONGDONG A. DANTES and MARIAN B. RIBERA, both of legal age,

Filipino citizens and residents of Brgy. Gimaga, Goa, Camarines Sur, Philippines, after
having been duly sworn to in accordance with law hereby depose and state THAT:

1. We are the legitimate parents of DINGDING R. DANTES, a high school graduate who
is applying for a CHED Scholarship Program;

2. As seasonal farmer and housekeeper, respectively, we are low income earners;

3. Our annual income of FIFTY FIVE THOUSAND PESOS (P55,000.00) is so meager

and only enough to cover our daily needs;

4. We executed this affidavit to attest to the veracity of the above and in support to our
son's application for a scholarship program.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________
20____ in ____________, _____________, Philippines.
____________________________________________

Affiant
____________________________________________

Affiant
SUBSCRIBED AND SWORN to before me, this ____ day of __________ 20____, in
the City of __________________, by ___________________ with Passport
No.________________ issued on __________________ at _____________.

ATTY. ANTHONY CLARK A. GAPIDO

Notary Public Tabaco City
For the Province of Albay
Roll No. 83746
IBP OR No. 227570; June 13, 2022
PTR No. 8843533; July 13, 2022 at Tabaco City
MCLE: N/A (Newly Admitted to the Bar)
2nd Floor Coastal Building Rental, Purok 2,
Morales Street, San Roque,Tabaco City, 4511

Doc No.____;
Page No. 450;
Book No. 35 ;