REPUBLIC OF THE PHILIPPINES)

CITY OF KABANKALAN...)
X-----------------------X

AFFIDAVIT OF NON-EMPLOYMENT
I, ___________________________________, of legal age, Filipino, with
residence address at ___________________________________, Negros Occidental,
after having been duly sworn to in accordance with law do hereby depose and state
that:
That I am an applicant for Petition of Correction of ________________ under R.A
10172 in the Local Civil Registrar of Kabankalan City;
That I am not currently employed in any private establishment or government
office nor have I ever been employed to such;
That I am totally dependent on my parents for my daily needs;
That I have no pending criminal nor administrative case filed against me;
That I am executing this affidavit to attest to the truth of the foregoing facts and
circumstances and for all legal intents this may serve.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand, this _______________,
at Kabankalan City, Negros Occidental.

____________________________
Affiant
SUBSCRIBED AND SWORN to before me, this _________________________,
at Kabankalan City, Negros Occidental.

REPUBLIC OF THE PHILIPPINES)

CITY OF KABANKALAN...)
X-----------------------X

AFFIDAVIT OF NON-EMPLOYMENT
I, ___________________________________, of legal age, Filipino, with
residence address at ___________________________________, Negros Occidental,
after having been duly sworn to in accordance with law do hereby depose and state
that:
That I am an applicant for Petition of Correction of ________________ under R.A
10172 in the Local Civil Registrar of Kabankalan City;
That I am not currently employed in any private establishment or government
office nor have I ever been employed to such;
That I am totally dependent on my parents for my daily needs;
That I have no pending criminal nor administrative case filed against me;
That I am executing this affidavit to attest to the truth of the foregoing facts and
circumstances and for all legal intents this may serve.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand, this _______________,
at Kabankalan City, Negros Occidental.

____________________________
Affiant
Assisted By:
___________________________
Parent/Guardian
SUBSCRIBED AND SWORN to before me, this _________________________,
at Kabankalan City, Negros Occidental.