Affidavit of Denial (NBI)
Affidavit of Denial (NBI)
Affidavit of Denial (NBI)
_________________________)
AFFIDAVIT OF DENIAL
I, ________________________________, Filipino citizen, of legal age,
single/married/widow/widower, and a resident of
_______________________________, after having been duly sworn in accordance with
law, hereby depose and say:
1. That while on the process of securing my NBI Clearance, it appeared in their
record that a certain ___________________ reported by _________________ for
alleged violation of ________________ at ____________________ on
_______________;
3. That I am executing this affidavit in order to attest to the truth of that I have not
been charged of any offense, whatsoever, and that I am not the same
_____________________ who has previous records or charges in Court or in any
governmental agencies, and for all legal intents and purposes it may serve.
____________________________
Affiant
ID NO.____________________
SUBSCRIBED AND SWORN before me this ________________ at
___________________. Affiant exhibited to me his/her identification document
indicated below his/her name.
WITNESS MY HAND and NOTARIAL SEAL at date and place above written.