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FOR CERTIFIED PLANT MECHANIC

REPUBLIC OF THE PHILIPPINES )


____________________________) S. S.

AFFIDAVIT OF COMPETENCY
I, _________________________________________of legal age, Filipino
citizen, single/ married, resident of __________________________________
_________________________________and
a
registered
Professional
Mechanical Engineer by profession, after having been sworn to according to law ,
depose and state :
1. That I have known personally ________________________________
who is applying for the Certified Plant Mechanic examination;
2. That, I have observed him in his work and found him competent to
undertake the operation, tending and maintenance of mechanical
works, plants or project of less than 200 horse power.
3. Further, affiant sayeth none.

WITNESS MY HAND THIS ______day of _______________, 20___ at


__________________________________.

________________________________
AFFIANT
Affix
Documentary
Stamp

PME Cert. No. ___________________


Dated __________________________
Res. Cert No. ____________________
Issued at: _______________________
Issued on: ______________________

SUBSCRIBED AND SWORN to before me this ________ day of


____________, 20 ______ at _______________________, Affiant exhibited to
me his residence certificate state above.
________________________________
ADMINISTERING OFFICER
Doc. No. ______
Page No. ______
Book No. ______
Series of ______

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