REPUBLIC OF THE PHILIPPINES)

CALOOCAN CITY ) S.S.

AFFIDAVIT
(Re: CEASATION OF EMPLOYMENT)

I, VICTORIA C. MENDOZA, of legal age, married, Filipino Citizen, and

with residential address at No. 13 Senator Street, Sta. Monica Subdivision,
Novaliches, Quezon City, after having been sworn to in accordance with law
hereby depose and say;

1. That I am a previous employee of Rainbow Dyeing Services and

Slimtex Industries Inc. from 1993 up to September 2006 due to my
resignation;

2. That since my resignation from the above employer up to the

present, I have not found any employment and/or source of
livelihood;

3. That is for this reason that I have ceased remitting my PAG-IBIG

monthly premiums;

4. That I am executing this affidavit in order to request the PAG-IBIG

Fund for offsetting of my previous loan with the said agency with
my earned contributions;

FURTHER, AFFIANT SAYETH NAUGHT.

Done this 16th day of October 2006 at Caloocan City, Philippines.

VICTORIA C. MENDOZA
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public for and in

Caloocan City, this 16TH day of October, 2006, affiant exhibiting to me her SSS ID
No. 03-6685349-6.

Doc. No. _____

Page No. ____
Book No. ____
Series of 2006