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    Check The Appropriate Box and Sign The Cell Beside Your Choice

    Uploaded by

    angeli
    This affidavit template is used to verify a student's relationship to their parent or guardian, as well as the source and amount of their family's income. The affiant must check boxes to indicate their relationship to the student as either a father, mother, or guardian. They must also specify their civil status and source of income, whether it be no income, informal employment and the estimated monthly amount, or ownership of a small business and the estimated monthly income. The affiant signs to attest to the truth of the information provided, and the affidavit is then notarized.

    Copyright:

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

    Check The Appropriate Box and Sign The Cell Beside Your Choice

    Uploaded by

    angeli
    63 views2 pages
    This affidavit template is used to verify a student's relationship to their parent or guardian, as well as the source and amount of their family's income. The affiant must check boxes to indicate their relationship to the student as either a father, mother, or guardian. They must also specify their civil status and source of income, whether it be no income, informal employment and the estimated monthly amount, or ownership of a small business and the estimated monthly income. The affiant signs to attest to the truth of the information provided, and the affidavit is then notarized.

    Original Title

    Annex-3-Affidavit-Template

    Copyright

    © © All Rights Reserved

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    This affidavit template is used to verify a student's relationship to their parent or guardian, as well as the source and amount of their family's income. The affiant must check boxes to indicate their relationship to the student as either a father, mother, or guardian. They must also specify their civil status and source of income, whether it be no income, informal employment and the estimated monthly amount, or ownership of a small business and the estimated monthly income. The affiant signs to attest to the truth of the information provided, and the affidavit is then notarized.

    Copyright:

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

    Check The Appropriate Box and Sign The Cell Beside Your Choice

    Uploaded by

    angeli
    This affidavit template is used to verify a student's relationship to their parent or guardian, as well as the source and amount of their family's income. The affiant must check boxes to indicate their relationship to the student as either a father, mother, or guardian. They must also specify their civil status and source of income, whether it be no income, informal employment and the estimated monthly amount, or ownership of a small business and the estimated monthly income. The affiant signs to attest to the truth of the information provided, and the affidavit is then notarized.

    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_________________

    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.
    Annex 3 Affidavit template

    _____________________________
    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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