AFFIDAVIT OF AUTHENTICITY

I, , Filipino citizen, of legal age, single, and a resident of Macadam Rd Rio Tuba Bataraza,
Palawan, Philippines, after having been duly sworn to in accordance with law, hereby depose
and say:

That the following documents submitted to Philippine Overseas Employment

Administration (POEA) are authentic and the data/facts contained therein are true and correct of
my own personal knowledge, namely:

● Transcript of Records (TOR) issued by Western Philippines University issued on

Nov 24,2022;

● Certificate of Employment as a Machine Operator at R-Rice Grains Traiding &

Rice Mill from 2004 through 2008;

● Certificate of Employment as a General Laborer at Nurben from 1998 through

2000;

I further undertake to allow the POEA or any of its authorized representatives to verify
the documents submitted.

Finally, I hereby DECLARE and ASSUME full responsibility for any falsity or
misinterpretation of any material fact in the contents of the above-mentioned documents.

IN WITNESS WHEREOF, I hereby affix my signature this ___ day of ___________

in_____________________________, Philippines.

Ariel R. Mata
Affiant

SUBSCRIBED AND SWORN to before me, in the City of Makati, Philippines, this ___
day of __________ 202X.
 AFFIDAVIT

I, <NAME>, of legal age, Filipino, single, and a resident of <Address>, Philippines, after
having been duly sworn to in accordance with law, hereby depose and say:

That I have a 12-month fixed-term employment contract with <Company Name>, as a

<Position> in <City, Country>;

That I applied for the said role by ___________________________________________.

That the recruiter contacted me through ______________________________________.

The hiring manager from <Company> _______________________________________.

That enclosed is a photocopy of the employer's ID and contact details;

That I hereby agree to be liable and irrevocable and answerable to perjury and/or
falsification of public documents if are found not in order or true;

That I am executing this affidavit to attest to the truth of the foregoing facts and
circumstances;

IN WITNESS WHEREOF, I have hereunto affixed my signature, this _____ day of <Month>
202X in Makati City, Philippines.

<NAME>
Affiant

SUBSCRIBED AND SWORN to before me, in the City of Makati, Philippines, this ___
day of ________________ 202X.