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I am executing this affidavit to attest to the truth, veracity and validity of all the foregoing and to certify, under oath, originality,
authenticity, and ownership of my above mentioned ENTRY, under pain of perjury.
In witness whereof, I have hereunto set my hand this _________ day of ______________________ 2015, in the City/
Province of __________________________, Philippines.
______________________________
AFFIANT