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Republic of the Philippines)

Done: In the City of Baguio) s.s.


AFFIDAVIT
I, REJOYCE D. LEGASPI, of legal age, single, Filipino Citizen and
with residence and postal address at Aurora Hill, Baguio City, Philippines,
after having been duly sworn to in accordance with law hereby depose and
state:
1 That I am a Nurse by Profession with Professional License No.
0540071;
2 That being employee of the different hospital/company I was issued
and holder possessor of the following certificate, to wit:
a. CERTIFICATE OF EMPLOYMENT issued by Dr. Almozher
Polyclinic on December 9, 2013;
b. CERTIFICATION issued by the Benguet General Hospital, La
Trinidad, Benguet issued on May 12, 2010; and
c. CERTIFICATION issued by the Philippine National Red Cross,
Benguet Chapter;
3 That I hereby attest to the authenticity and genuineness of the
document/s attached made an integral;
4 That I hereby agree to be liable and answerable to perjury and/or
falsification of public documents in the event that the document/s
is/are found not in order;
5 That I am executing this affidavit to attest to the veracity and
truthfulness of the foregoing and for all legal intents and purposes
it may serve.
IN WITNESS HEREOF, I have hereunto set my hand this 7 th day of
July, 2014 at Baguio City, Philippines.
REJOYCE D. LEGASPI
Affiant
PRC ID No. 0540071
Valid Until: January 30, 2015
SUBSCRIBED AND SWORN to before me this 7th day of July, 2014 at
Baguio City, Philippines. Affiant identified by me through her Professional
Regulation Commission ID and to be the same person who executed this
instrument as her free act and deed.

MODESTO T. ANDONG
Notary Public

Commission No. 30-NC-14-R/Until: December 31, 2015


PTR No. 1575953/01-03-14/Baguio City
IBP No. 937789/12-12-13/Baguio-Benguet Chapter
Roll No. 31289/5-15-81/Manila
MCLE COMPLIANCE No. IV-0000175/August 4, 2010

Doc. No. 181; Page No. 37;


Book No. 8;Series of 2014.

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