Académique Documents
Professionnel Documents
Culture Documents
1
(Revised March 2016)
Registy No.________________
SUBSCRIBE AND SWORN to before me this_______day of_________20____at the city og binan, Laguna,
affiant exhibiting his/her_____________________________________________________issued
at________________________________on__________________. I certify that I personally
examined the affiant and that he/she voluntarily executed the foregoing affidavit and
understood the contents thereof.
__________________________
Signature over printed name of
Administering Office