City of Dipolog )s.s x-------------------------------x
I, MARITES T. DISIERTO , of legal age, Filipino, married and with residence
and postal address at Lupoc, Labason, Zamboanga del Norte, after having been duly sworn to in accordance with law, do hereby depose and state that:
1. I am the Admin Assistant II assigned at Balas National High School located in
Barangay Balas, Labason, Zamboanga del Norte; 2. That the teachers and staffs of Balas National High School is using log book and Daily Time Record (DTR) for the month of May, as the schools biometric machine suffer technical problem as it did not function anymore; 3. That the entries I made in the log book and daily time record were true and correct based on my personal knowledge; 4. If the new biometric machine will be installed in the Balas National High School of Barangay Balas, Labason, Zamboanga del Norte, the undersigned undertakes to comply and register for use of biometric machine when reporting for work; 5. I voluntarily executed this affidavit to attest to the veracity of my foregoing statements for the purpose of claiming my salary for the month of April, 2017.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
24th day of May, 2017 at Dipolog City.
MARITES T. DISIERTO Affiant
SUBCRIBE AND SWORN TO BEFORE ME, this 24 th day of May,2017
at Dipolog City. Affiant MARITES T. DISIERTO, exhibiting to me her UMID Card No. CRN-006-0051-6620-2 issued in Dipolog City.
Doc. No.___ Page No.___ Book No.___ Series of 2017.