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REPUBLIC OF THE PHILIPPINES) CITY OF _________ . . . . . . . ) S.S x----------------------------------x)
AFFIDAVIT OF NO PENDING CIVIL OR CRIMINAL CASE I, ______________________ ______________________, of legal age, married/single/separated/widowed, Filipino, and a resident of ____________________________________________________, after having been duly sworn to an oath in accordance with law hereby depose and state: That I am currently employed at the ______________; That I have no pending case, criminal or civil, before any judicial authorities or agency in the government; That I am neither an advocate nor a mentor of any unlawful or subversive organization that advocated the overthrow of the government or agency in the government; That I was never accused of any offense or crime involving moral turpitude, neither one of the same nature or a pending case of anti-graft law (RA 3019) against my person is pending before any prosecution office and judicial authorities elsewhere in the Philippines; That I am executing this affidavit to attest to the truth of all the foregoing declarations and for whatever legal purpose this may serve. IN WITNESS WHEREOF, I have hereunto set any hand this ___ day of _________, ____, in the _________________ __________________, _, Philippines.
SUBSCRIBED AND SWORN to before me this ___________________ day of _________ in _____________________. Affiant exhibited to me his/her Com. Tax Cert No. _________ issued on _________________ _________________ at ____________, _____________________. _____________________.
