Supreme Court of The Philippines Manila

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SUPREME COURT OF THE PHILIPPINES

Manila

February 21,2019
Date

Name : ARNELISSA G. CRUZ


Civil Status : SINGLE
Present Address : 357 CRISOSTOMO ST., BRGY. SANBERMECRISTI
CABANATUAN CITY NUEVA ECIJA

Position previously held, name of office, showing inclusive dates of employment and
cause of separation :

N/A

If previously retired, state amount of gratuity of bonus, inclusive period covered by


gratuity or pension and Act Executive Order under which such gratuity or
pension use authorized.

N/A

I hereby certify that the foregoing statements are true to the best of my knowledge
and belief.

ARNELISSA G. CRUZ
(Signature Over Printed Name)

SUBSCRIBED AND SWORN TO before me this 21st day of February, 2019, affiant
exhibiting to me his/her _______ Identification Card No. ____________.

______________________________

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