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Affdavit Self Serving - Form

This 3 sentence affidavit summarizes the affiant's personal and family history. It states that the affiant is employed by a company and a member of SSS. It also details that the affiant was previously married and had a child, then entered a common law relationship where they had two children and the affiant received maternity benefits from SSS. The affidavit is intended to attest to the truth of these statements.

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Godofredo Sabado
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8K views1 page

Affdavit Self Serving - Form

This 3 sentence affidavit summarizes the affiant's personal and family history. It states that the affiant is employed by a company and a member of SSS. It also details that the affiant was previously married and had a child, then entered a common law relationship where they had two children and the affiant received maternity benefits from SSS. The affidavit is intended to attest to the truth of these statements.

Uploaded by

Godofredo Sabado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES )

ANGELES CITY ) S.S.

AFFIDAVIT

I, _________________, of legal age, Filipino, and a resident of _______________, after


having been duly sworn in accordance with law, hereby depose and state that:

1. I am an employee of ______________ and a bona fide member of Social Security


System (hereinafter referred to as the SSS).

2. On ______________, I was married to __________________ and had one child,


________________ who was born on _______________ and then shortly went into separation.

3. I then had a common law union with ___________________ with whom I bore
one child and availed of maternity benefits.

4. On __________________, I bore my second with the said _________________.

5. I am executing this affidavit to attest to the truth of the foregoing statement, and
for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand on this _____ day of


________________, in Angeles City, Philippines.

___________________
Affiant

SUBSCRIBED AND SWORN TO before me, in the City of Angeles and the Province of
Pampanga, this _____ day of _______________, by _________________, personally known to me,
who is the same person who personally signed before me the foregoing affidavit and
acknowledged that he/she executed the same.

Doc. No.
Page No.
Book No.
Series of 2016.

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