Republic of the Philippines )

_____________________ ) SS.
x--------------------------------/

AFFIDAVIT OF BEING SINGLE

I, _________________, of legal age, single, Filipino, and a resident of
_____________________, after having been duly sworn to in accordance with the law, do hereby
depose and state;

1. That I am applying to the Military Service in the Philippine Army:

2. That I was born on ______________________, in _________________ and

the child of ___________________ and ________________;

3. That I am still single, as I have never contracted any marriage with another
person up to the present; and

4. That I am executing this affidavit to attest to all the above facts and for
whatever legal purpose that it may serve best.

IN TRUTH WHEREOF, I have hereunto set my hand this 26 th day of January 2023 in
_____________________, Philippines.

___________________
Affiant
________________________________

SUBSCRIBED AND SWORN TO before me this 26th day of January 2023 in

_________________________, Philippines.

Doc No. ________;

Page No. _______;
Book No. V;
Series of 2023.

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