REPUBLIC OF THE PHILIPPINES)
CITYOF ) S.S.
X - - - - - - - - - - - - -- - - - - -x
AFFIDAVIT
I, ________________________ of legal age, Filipino, single and a
resident of ________________________ after having being sworn to in
accordance with the law do hereby depose and say that:
1. I am the same person who caused this affidavit to be made;
2. That according to the best of my knowledge and conscience, I
have never been married nor entered into any marriage contract
or wedding ceremony in the Philippines or abroad;
3. That I have not undergone any process of annulmet of
marriage, declaration of nullity, divorce or legal separation in
the Philippines or abroad;
4. That since birth up to the present, my marital status remains
SINGLE;
5. I am executing this affidavit in order to attest to the truth of the
foregoing facts, and to inform the authorities concerned of the
truth of the matter.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
__________________ at ____________, Philippines.
______________________________
Affiant
___________________________
SUBSCRIBED AND SWORN to before me ___________________ in
the City of ___________________
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2019.