I, ANAMIE ORTIZ URBIZTONDO, of legal age, Filipino, married and a
resident of Purok 3, Songkit, Madrid, Surigao Del Sur, Philippines, after having been duly sworn to in accordance with law, hereby depose and say: THAT–
1. I am applying for the position of Utility Worker in Municipal Circuit
Trial Court - San Francisco, Agusan del Sur.
2. I have no relatives within the third degree either of consanguinity or
affinity who is an incumbent employee in the subject branch;
3. Should the Supreme Court of the Philippines ascertain that I have
relatives in Municipal Circuit Trial Court - San Francisco, Agusan Del Sur, the Supreme Court of the Philippines reserves the right to cancel the processing of my application;
4. I understand that should I be employed, any misrepresentation on that matter
is a ground for an administrative case and termination;
5. This affidavit is executed to attest to the veracity of the foregoing
statements.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 13th
day of March 2023 at Madrid, Surigao del Sur, Philippines.
ANAMIE ORTIZ URBIZTONDO
Affiant
SUBSCRIBED AND SWORN TO before me this 13th day of March 2023
at Madrid, Surigao del Sur, Philippines, by affiant who exhibited to me her Voter’s ID with VIN. 6813-0005A-D1982AGO200000 as her competent evidence of identity.