i j COVID Declaration of Newly-Hired Worker} REPUBLIG OF THE PHILIPPINES) City of )Ss. DECLARATION i_AUIM ~f/- TAVID __ of legal age, Fillpino, singlelmarried and a resident of B20) \-PRIEDA G1. CAB CAB CAPAC, TAILLAG, after having sworn to in accordance with law do hereby depose and state that 4. Lam a newly-hired worked as (cccupation)_SA for (employer) AL MARANA Contin. Gizpcttitee— _——wel 2. 1am fully informed by government authorities of the risk of exposure to the CoVID-19 bby reporting to my workplace; 3. {shall comply with the prescribeg matical and healtn protocols inthe Philipines anc of the In (countrytenitor) Se during my wavel and stay in said country. SUBSCRIBED AND sweRty pet remettis GOCT AT QR2ew. in the City/Municipality of, NOTARY PUBLIC Bos No. oe ‘ SHUAP. LAPUZ Page No jotary Pubiie for & 3 Book Ne Appointment #M-019 until 42/3 PIR No. 8852540 - Jan. 3, 2022 # Roll No 4570, TP tie LE No. V0D16588/ Jan. 14 201 GM Fodiman Suton 198 Salo Strot Legaspi Village, Makati City 4cobrroi [ep ann bissemnareo | ‘avorpon__fEB i 2% other a |