Republic of the Philippines )
Province of Bulacan )
SS.Municipality of ______________ )
x- - - - - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOW INCOME
We, Spouses
DODGIE NORGARTO GAMAS
and
VICTORIA AGIR MANGGON
,both of legal age, Filipino citizens and residents of Tabang, Guiguinto, Bulacan,Philippines, after having been
duly sworn to in accordance with law hereby depose andstate THAT:1. We are the legitimate parents of AGEL
M. GAMAS, who is applying for aScholarship Program;2. A minimum wage earner and housekeeper,
respectively, we are low incomeearners;3. Our annual income is so meager and only enough to cover our daily
needs;4. We executed this affidavit to attest to the veracity of the above and in support toour son's application for a
scholarship program.
IN WITNESS WHEREOF
, we have hereunto affixed our signatures this ____day of ____________ 2017 at ____________,
Philippines.
DODGIE NORGARTO GAMAS VICTORIA AGIR MANGGON
Affiant Affiant
SUBSCRIBED AND SWORN TO
before me this ___ day of _______ at _______________ affiants exhibited to me their
__________________
Nos. ______ and _______________ issued on _______________ and __________________,resp
ectively, in _________________________.Doc. No. .......Page No. .......
Notary Public
Book No. ......Series of 2017.