AFFIDAVIT OF WITHDRAWAL
I, _________________________________________________, Filipino, single/married and
presently residing at ____________________________________________________________,
Philippines, after having been duly sworn to in accordance, with law, hereby depose and state:
That I am an applicant for overseas employment with ___________________________.
That I am withdrawing my applications for the following reasons:
1. _______________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
5. ________________________________________________________________
That I am withdrawing the following ORIGINAL documents:
1. _______________________________________________________________
2. _______________________________________________________________
3. _______________________________________________________________
4. _______________________________________________________________
5. _______________________________________________________________
That I have no claims whatsoever against, ________________________ or its office and staff.
Further affiant sayeth naught.
__________________________ __________________________
Date Applied Affiant
SUBSCRIBED AND SWORN to before me this ___________ day of ____________________ 2016.
Affiant exhibiting his/her Passport No. _____________________ issued on ________________
issued at _____________________________________.
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