Anda di halaman 1dari 1

Republic of the Philippines)

Province of Cagayan ) S.S.


Tuguegarao City )
x------------------------------------------x

AFFIDAVIT

I, WENDEL MARR B. BALIGA, Filipino, of legal age, single and


resident of Balzain Highway, Centro 11, Tuguegarao City, Cagayan, after
having been duly sworn to in accordance with law, do hereby deposes
and states THAT:

1. I am the owner/proprietor of a business establishment (computer


shop) with trade name EDION NET CAFE located at Balzain
Highway, Centro 11, Tuguegarao City;

2. In the conduct of my business, I personally manage the day to


day affairs of my business and no person is currently employed
under me who work in said business establishment;

3. I have executed this affidavit to attest to the veracity and


truthfulness of the foregoing statements and to facilitate securing
of my Phil Health and PAG-IBIG clearances.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


____ day of January 2017 in Tuguegarao City, Cagayan, Philippines.

WENDEL MARR B. BALIGA


Affiant
ID NO.____________________

SUBSCRIBED AND SWORN to before me this _____ day of January


2017, in Tuguegarao City, Cagayan, Philippines, affiant exhibiting to me
his ________________, a competent proof of his identity.

Doc. No._____
Page No. ____
Book No._____
Series of 2017.

Anda mungkin juga menyukai