Republic of the Philippines )

City of Iligan . . . . . . . . . . . ) s.s.

A F F I D A V I T
(of No Relative within Prohibited Relationship)

I, ___________________________________ , of legal age, single, Filipino and a
resident of _____________________________________, after having been duly sworn to an
oath depose and say;

1. That I am an applicant for the position of Clerk IV of the Presiding Judge of Municipal
Trial Court in Cities Branch 5, Iligan City;

2. That in view of the said application, I am manifesting that I am not related to any existing
personnel of the said court up to fourth degree of consanguinity or affinity, or any level;

3. That I execute this affidavit in accordance to existing law in its support of such
application.
IN WITNESS WHEREOF, I have hereunto set my hand this ___________ day of
_______________ at Iligan City.

_______________________
Affiant


SUBSCRIBED AND SWORN to before me this _______ day of _____________,
20____ at ____________. Affiant appeared with his Supreme Court Employee I.D. with no.
________________ issued on ____________________ at ___________________________
and acknowledged the foregoing affidavit to be his free and voluntary act.


________________________