______________, S.S.
x-----------------------x
AFFIDAVIT OF TERMINATION OF EMPLOYMENT
I, __________________________________, Filipino, of legal age,
single/married, with residence/postal address at
______________________________________________, after having been sworn
in accordance with law, hereby depose and state that:
1. I am a bona fide member of the Social Security System (SSS) with
assigned SSS Number _______________________;
2. I was an employee of __________________________________________
with office address at ________________________________________
from ________________________ to __________________________;
3. I was terminated from employment effective
______________________due to ______________________________;
4. I cannot secure a Notice of Termination from my employer; and
5. I am executing this affidavit to attest to the truth and veracity of the
foregoing statements and to support my application for unemployment
insurance or involuntary separation benefit.
IN WITNESS WHEREOF, I hereby set my hand and affix my signature this
__________________________ at ___________________, Philippines.
_____________________________
AFFIANT
(Signature over Printed Name)
SUBSCRIBED AND SWORN to before me this _______ at
________________
Affiant exhibiting to me his/her valid government ID __________ issued on
__________ at _______________________ and valid until _____________.
Doc. No. _______________;
Page No. _______________;
Book No. _______________;
Series of 20_____________;