AFFIDAVIT OF MEDICAL HEALTH CONDITION

I Legal age, Single or Married, Filipino and resident of

, after having sworn in accordance with law
do hereby depose and say, THAT:

1. I am an applicant of _______ and ASRS as Assistant Teacher bound to Abu Dhabi UAE.

2. I am opting to pass and get the chance to work abroad.

3. That I don’t have any preexisting medical conditions.

4. I fully acknowledge and aware that I must declare illnesses or medical condition that I’m
aware of and may cause me to be unfit to work.
5. I am executing this affidavit to attest to the truthfulness of the foregoing and for all legal
intent purposes.

IN WITNESS WHEROF, I hereunto affix my signature this

day of 2024

at

AFFIANT