JURAT
REPUBLIC OF THE PHILIPPINES )
CITY OF ____________ ) S.S.
SUBSCRIBED AND SWORN to before me in the City of ________ this
___ day of ______________ 2022, affiant exhibiting to me his government
issued ID, with details as follows:
Name Competent Evidence of Place/Date of
Identity Issue
XXX XXX
Doc. No. ____
Page No. ____
Book No. ____
Series of 2022.