REPUBLIC OF THE PHILIPPINES )

City of San Jose del Monte, Bulacan ) S.S.

AFFIDAVIT

I, _______________, of legal age, married, Filipino, and residing at

_________________________________, after having been duly sworn in accordance
with law, do hereby depose and state that:

1. I was hired as Alternate _______________________________ of the National

Project Coordination Office (NPCO) of the Philippine Rural Development
Project on _________________ until ______________________;

2. Since 2011, I am residing with my wife, _________________, our children

______________, _____ years old, ______________, _____ years old,
______________, _____ years old and my mother-in-law
____________________;

3. On February 2022, we moved to our new house in

_________________________________________ and continued to reside with
them till present;

4. I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of

_________________, 2022 at _____________________, Philippines.

_______________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of _______________

2022 at ________________________, Philippines. Affiant personally known to me
and was identified by me through competent evidence of identity as defined in
the 2004 Rules on Notarial Practice (A.M. No. 02-8-13-SC). Affiant/s exhibited
to me his ___________________________, with her photograph and signature
appearing thereon, with no. ________________.

Witness my hand and seal this ___ day of _____________________ 2022

NOTARY PUBLIC

Doc. No. _____

Page No. _____
Book No. _____
Series of 2022