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    Annex 3 Affidavit Template

    Uploaded by

    NOLIE LENTIJA
    This affidavit template is for establishing the relationship, civil status, and source of income of the affiant in relation to a student. The affiant must check the appropriate boxes to indicate their relationship as a father, mother, or guardian of the student. They must also specify their civil status such as single parent or married. Finally, they must identify their source of income as having no income, informal employment with details, small business with details, or support from a relative with their name and relationship. The affiant signs to attest to the truth of the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Annex 3 Affidavit Template

    Uploaded by

    NOLIE LENTIJA
    44 views2 pages
    This affidavit template is for establishing the relationship, civil status, and source of income of the affiant in relation to a student. The affiant must check the appropriate boxes to indicate their relationship as a father, mother, or guardian of the student. They must also specify their civil status such as single parent or married. Finally, they must identify their source of income as having no income, informal employment with details, small business with details, or support from a relative with their name and relationship. The affiant signs to attest to the truth of the information provided.

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    Original Title

    Annex-3-Affidavit-Template

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    © © All Rights Reserved

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    This affidavit template is for establishing the relationship, civil status, and source of income of the affiant in relation to a student. The affiant must check the appropriate boxes to indicate their relationship as a father, mother, or guardian of the student. They must also specify their civil status such as single parent or married. Finally, they must identify their source of income as having no income, informal employment with details, small business with details, or support from a relative with their name and relationship. The affiant signs to attest to the truth of the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    44 views2 pages

    Annex 3 Affidavit Template

    Uploaded by

    NOLIE LENTIJA
    This affidavit template is for establishing the relationship, civil status, and source of income of the affiant in relation to a student. The affiant must check the appropriate boxes to indicate their relationship as a father, mother, or guardian of the student. They must also specify their civil status such as single parent or married. Finally, they must identify their source of income as having no income, informal employment with details, small business with details, or support from a relative with their name and relationship. The affiant signs to attest to the truth of the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Annex 3 Affidavit template

    REPUBLIC OF THE PHILIPPINES )


    City/Municipality of __________________) S.S.

    AFFIDAVIT
    I, _______________________, Filipino, of legal age, and resident of
    __________________________________________________, after having been duly sworn
    to in accordance with law, do hereby depose and state the following:

    (Check the appropriate box and sign the cell beside your choice)
    Relationship to (Name of Student) __________________________
    Signature
    ______________________________________________________
    Father
    Mother
    Guardian
    Civil Status
    Single/Solo parent
    Married
    Married, solo parent
    Married, legally separated
    Widow/widower
    Source of Income
    None
    Informal employment (Tricycle/jeepney/pedicab driver, manicurist,
    barber, etc.) please specify: __________________
    __________________________________________________
    Estimated average monthly income: P___________________
    Micro/Small business (Sari-sari store, direct selling, etc.) please
    specify: _____________________________________
    _________________________________________________
    Estimated average monthly income: P___________________
    Support from a relative
    Name: _________________________________
    Relationship with relative: ____________________________
    Amount of monthly support: P_________________
    Annex 3 Affidavit template

    I am executing this affidavit to attest to the truth of the foregoing facts and statements and for
    whatever purpose this may serve.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of


    ________, 2020 at ________________________, Philippines.

    ___________________________
    __
    AFFIANT

    SUBSCRIBED AND SWORN to before me this ___ day of _______________,


    2020 at __________________, Philippines, Affiant exhibiting to me his/her
    ______________________ issued on _______________ and valid until _______________ .

    ___________________________
    NOTARY PUBLIC

    Doc. No. :____;


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

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