Affidavit DESO TSS

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Republic of the Philippines

Province of _______________________}
City/Municipality of __________________} s.s.

AFFIDAVIT

I, __________________________, Filipino Citizen, of legal age, resident of


___________________________________________, do hereby aver that:

That I am not related to any candidate who has filed their Certificate of
Candidacy within the fourth (4th) civil degree of consanguinity or nor to any
member of Electoral Board in the clustered precinct in which I am designated as
________________________ in connection with the May 09, 2022 National and
Local Elections; and

That I posses all the qualifications and none of the disqualifications as explicitly
provided in COMELEC Resolution No. 10460.

IN WITNESS WHEREOF, I have hereunto affixed my signature, this _____ day


of _______________ 2022, City/Municipality of __________________, Province
of Masbate, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me this, ______ day of


_______________ 2022, in ___________________, affiant exhibiting to me his/her
Government Issued Identification Card, (I.D. type and No.) _________________
issued at _______________ on _____________________.

________________________
Administering Officer
[EO/AEO]

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