REPUBLIC OF THE PHILIPPINES)

__________________________________) S.S.

AFFIDAVIT

I, _____, of legal age, Filipino citizen, married and a resident of

______, after being sworn in accordance with law, hereby depose and
state that –

1. I am the aunt of _____-_

2. I am a pensioner and receive monthly pension from the

Government of the Republic of the Philippines;

3. My niece, is presently applying for work abroad, particularly

in the United States of America;

4. I am thus executing this affidavit as guarantor of my niece,

Irene, for purposes of her travel and work application abroad;

5. I guarantee that I am able to support her financially with any

expense/s pertinent to her application;

6. Finally, I am executing this affidavit to attest the truth and

veracity of the foregoing statements and for all legal intents and purposes
it may serve;

7. Affiant sayeth naught.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

____________________ at City San Fernando, Pampanga, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me, this ____________________

at City of San Fernando, Pampanga, affiant exhibiting to me her ____-----,
bearing her photograph and signature as competent evidence of her
identity.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2023.