Republic of the Philippines)

City of Lapu-lapu ) S. S

SWORN STATEMENT

I, LYNDEL TUMULAK BULLOS, of legal age, single, with postal and residence address of
SANGI MECO, Pajo, Lapu-lapu City, after being duly sworn to in accordance with law,
hereby depose and state that:

1. I am the Punong Barangay of Barangay Pajo, Lapu-lapu City with a place of

assignment at Pajo Barangay Hall, UA Ybañ ez St., Pajo, Lapu-lapu City.

2. There is no complaint(s) against the undersigned pending with the Civil Service
Commission, Office of the Ombudsman, any Prosecutor’s Office, Department of
Justice, or any regular courts of the Courts of Appeals and the Supreme Court; or
pending administrative case with the Commission on Audit or any
Administrative body;

3. I am executing this sworn statement to lend to the veracity of the foregoing

statement and for whatever legal purpose or purposes that it may serve;

AFFIANTS FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this ________ of November 2022 at
Pajo, Lapu-lapu City, Cebu, Philippines.

LYNDEL TUMULAK BULLOS

Affiant

SUBSCRIBED AND SWORN to before me this 9th day of November 2022 by affiant exhibited
to me his/her Passport No. P0934910B issued at DFA Cebu on 06 March 2019.

Doc. No. _________;

Page No. __________;
Book No. __________;
Series of 2022.