REPUBLIC OF THE PHILIPPINES CITY OF DASMARINAS . . . . . . . PROVINCE OF CAVITE
) ) S.S.
AFFIDAVIT OF NO EARNINGS I, JOEL C. CHAVEZ , Filipino, of legal age and resident of Brgy. Victoria Reyes, Reyes, Dasmariñas, Dasmariñas, Cavite, Cavite, after being duly sworn to in accordance with law, depose and state: That - -
1. I am am a bo bona nafi fide de mem membe berr of Soci Social al Secu Securi rity ty Sys Syste tem m und under er SSS SSS ID #!-"$%"-%& '.
I am am fili filing ng my reti retire reme ment nt for for the the abo( abo(e e sai said d age agenc ncy: y:
!. I was was wor) wor)in ing g at Sta Starl rlig ight ht *ui *uild ldin ing g Ser( Ser(ic ices es,, Inc. Inc. fro from m +anu +anuar ary, y, 1 until December 1 and was separated due to closure& ". I am (oluntary pay my contribution deri(ed from my self employment and was not connected to any pri(ate institutions& $. Thro Throug ugh h this this ff ffid ida( a(it it I her hereb eby y decl declar are e unde underr oath oath tha thatt I am am not not employed to any pri(ate institution& $. I am e/ec e/ecut utin ing g this this ff ffid ida( a(it it to to atte attest st to to the the trut truth h and and (era (eraci city ty of of the foregoing and for whate(er legal purpose the same may ser(e&
IN WITNESS WITNESS WHEREOF WHEREOF ,
I ha(e hereunto affi/ed my signature this ' day of0arch '1 in ity of Dasmarinas, a(ite. th
JOEL C. CHAVEZ ffiant
before me this ' th day of 0arch '1 affiant e/hibiting to me his Senior iti2en ID 3o. '%$ issued on '.1.1 at 0unicipality 4f Dasmari5as, Dasmari5as, a(ite. to SUBSCRIBED AND SWORN to
Doc. No. ___; Page No. ___; Book No. IX; Series of 2010.
REPUBLIC OF THE PHILIPPINES DASMARINAS, CAVITE . . . . . . .
) ) S.S.
AFFIDAVIT OF INCOME
I, BIENVENIDO B. NAVAYRA, 6ilipino, of legal age and resident of *l). , 7ot ', *rgy. *autista 8roperty, Dasmarinas, a(ite, after being duly sworn to in accordance with law, depose and state: That - -
1.
I am presently employed as a family dri(er&
'. s such, I am earning appro/imately 9I;T T;4 a month& !. Through this ffida(it I hereby declare under oath that I am earning appro/imately 9I;T T;4 which I deri(ed from my abo(e-said employment& ". I am e/ecuting this ffida(it to attest to the truth and (eracity of the foregoing and for whate(er legal purpose the same may ser(e&
IN WITNESS WHEREOF ,
I ha(e hereunto affi/ed my signature this 1 day of ugust '" in Dasmarinas, a(ite. th
*I93?93ID4 *. 3?@A ffiant
before me this 1 th day of ugust '" affiant e/hibiting to me his ommunity Ta/ ertificate 3o. $'$""! issued on .1." at Dasmarinas, a(ite. SUBSCRIBED AND SWORN to
Doc. No. ___; Page No. ___; Book No. ___; Series of 2004.
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