Republic of the Philippines )Batangas City ) S.S

x----------------------------------xAFFIDAVIT

I, _____________________ , of legal age, Filipino citizen, ___________ and resident of _____________________________, Philippines after having been duly sworn to in accordance with the law do hereby depose and state:

That I worked as _____________at the ________________from __________ to ______________. A certification was issued to me on _____day of ____________ 2016 at ___________________________________to attest the foregoing information. ( Attached hereto is the certified true copy of the said certification as ANNEX “A”).

That I am executing this affidavit to affirm the truth of the foregoing and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto signed this affidavit this ____day of ____, 2016 in _______, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me this _____________at____________, Philippines affiant exhibiting to me his competent evidence of identity: ______________

Notary Public