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Republic of the Philippi ppines Province of Isabela Municipality of of Il Ilagan ) x--------------------------------x
) ) S. S .
AFFIDAVIT
THAT THAT I R!MA H. "ASTI##! $i%o$ of legal age &ilipino an% a resi%ent of 'arangay (one * San Mariano Isabela upon our oath %epose an% state+ That I a, the ,other of APP# H. "ASTI##! Septe,ber /00/ at San Mariano Isabela1
$ho $as born on
That ,y %augther. %augther. is a high school gra%uate at San Mariano 2ational High School (one / San Mariano Isabela1 That ,y %augther applie% for a college scholarship $ith the Municipal 3overn,ent 3overn,ent of Isabela for the school year 0-l*1 That ,y annual inco,e is P. P. pesos to P*. pesos an% that $e have no %eclare% or registere% property1 That I a, executing executing this a4%avit to attest that $e belong to the in%i n%igent gent grou group p an% an% that $e have ave no regi egiste stere% prop proper ertty an% an% as a re5uire,ent for application of Scholarship of our %aughter $ith the Municipal 3overn,ent Progra, of San Mariano Isabela an% for other legal purpose it ,ay serve. A&&IA2TS &6RTHR SA7TH 2A63HT. I2 8IT2SS 8HR!& I have hereunto a4x our signature this 9th %ay of April 0 at Ilagan Isabela.
ROMA H. CASTILLO
A4ant
S6'S"RI': A2: S8!R2 to before ,e this 9TH %ay of April 0 at Ilagan Isabela.
