You are on page 1of 2

REPUBLIC OF THE PHILIPPINES)

__________________________ ) S.S
PROVINCE OF PAMPANGA )

AFFIDAVIT OF NON-EMPLOYMENT

I, CEZAR III P. VITAL, of legal age, single, Filipino, and resident of San
Vicente, Mexico, Pampanga, after having been sworn in accordance with the law, do
hereby depose and say:

1. That as of the present time, I am not employed in any capacity at any


corporation, company, government office or agency, and/or individual
person;

2. That I have applied for the Correction of Entry specifically on my First Name
in my Birth Certificate before the Local Civil Registrar Office of San
Fernando, Pampanga

3. That I have not been accused administratively of any case before the
administrative body;

4. That I am executing this Affidavit to attest to the truth of the foregoing


statements and to support my application for Correction of Entry in my Birth
Certificate and for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set our hands this __ day of


____________________ in _____________________, Pampanga, Philippines.

CEZAR III P. VITAL


Affiant
Passport ID No. P9459288B
Expired on 03/31/2032

SUBSCRIBED AND SWORN TO before me this ___ day of


______________________ at _____________________, Pampanga.

Doc. No _______
Page No._______
Book No.______
Series of 2022.
REPUBLIC OF THE PHILIPPINES)
CITY OF SAN FERNANDO ) S.S
PROVINCE OF PAMPANGA )

AFFIDAVIT OF NON-EMPLOYMENT

I, LUZVIMINDA ALAMO-TIZON, of legal age, married, Filipino, and resident of


Sto. Domingo, Minalin, Pampanga, after having been sworn in accordance with the law,
do hereby depose and say:

1. That I am a plain housewife, the support of our family comes from the
income of my husband who was working in a company;

2. That as of the present time, I am not employed in any capacity at any


corporation, company, government office or agency, and/or individual
person, as I am a full-time housewife;

3. That I have not been accused administratively of any case before the
administrative body;

4. That I am executing this Affidavit to attest to the truth of the foregoing


statements and for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set our hands this __ day of


____________________ in San Fernando Pampanga, Philippines.

LUZVIMINDA ALAMO-TIZON
Affiant
ID No. ____________________

SUBSCRIBED AND SWORN TO before me this ___ day of


______________________ at City of San Fernando, Pampanga.

Doc. No _______
Page No._______
Book No.______
Series of 2022.

You might also like