Affidavit and Request For Deletion

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REPUBLIC OF THE PHILIPPINES )

Imus City, Cavite ) S.S.

AFFIDAVIT AND REQUEST FOR DELETION

I, MARIO MARCIAL ARGUELLES, of legal age, Filipino and a resident


of 9024 Bankers Village, Bucandala 2, Imus City, Cavite, Philippines, after
having been duly sworn to in accordance with law, hereby depose and say:

1. That I am a member of the Social Security System (SSS);

2. That I was informed by SSS that there are contributions paid by


and attributed to UNIVERSAL ROBINA CORPORATION, which
was never my employer;

3. That as such, I request SSS to delete the said contributions paid


by UNIVERSAL ROBINA, as these should go to the right and
proper person/s;

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

IN WITNESS WHEREOF, I have set my hand this September 18, 2015


at Imus, Cavite, Philippines..

MARIO MARCIAL ARGUELLES


Affiant

SUBSCRIBED and SWORN to before on the date and place above-


written, affiant exhibiting to me his I.D.._________

Doc. No. ____;


Page No. ____;
Book No. _____;
Series of 2015.

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