REPUBLIC OF THE PHILIPPINES )

CITY OF DAPITAN ) S.S.

AFFIDAVIT IN SUPPORT OF FACTS

ALLEGED IN MOTION

I, (Name of the Affiant), of legal age and with residence at

(Permanent residence of the Affiant), having been duly sworn, depose and
say:

That I, (Name of the Affiant), of legal age, currently working as an

analyst at the (Address of the company).

That I personally know that the person named herein in the complaint
and the person whom I personally know are one and the same person.

(Name of the Affiant)

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, A Notary public

in and for the City of Dapitan and the Province Zamboanga Del Norte this
(nth) day of (month, year). Affiant personally came and appeared with
Driver’s License ID No. (xxx-xxxx) issued by the Land Transportation Office
and valid until (Date of expiry), at Dapitan City, bearing his photograph and
signature, known to me as the same person who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.

ATTY. RODAN M. CUESTA

Notary Public
My Commission
Expires on
(Expiry date of the
Commission)
PTR No. (xxxxx)
issued (Date issued)
IBP No. (xxxxx)

Doc. No. (xxxxxx);

Page No. (xxxxxx);
Book No. (xxxxxx);
Series of 2022;

Affidavit
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