Affidavit: IN Witness Whereof

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Republic of the Philippines )

)
)s.s
x-------------------------------x

AFFIDAVIT

I, _________________, ___ years old, Filipino, married, and a


resident of _____________________, Philippines, after having been duly
sworn to in accordance with law, do hereby depose and state THAT:

1. I am the same person whose circumstances stated above;

2. I applied for a domestic helper and submitted my documents to the


______________ ;

3. However, I intend to withdraw the documents I submitted to the


mentioned agency because I will not pursue my application for
personal reasons;

4. I attest to the truth of the foregoing statements to the best of my


knowledge;
5. I am executing this affidavit to attest to the foregoing facts and for
whatever legal purpose this may serve;

IN WITNESS WHEREOF, I hereunto set my hand


this_______________, Philippines.

SUBSCRIBED AND SWORN to before me this______________,


Philippines, affiant exhibiting to me her competent evidence of identity written
below her name and signature.

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