Citizen, Single and presently residing and with postal address at 3020 2nd Street, Guadalcanal, V. Mapa, Sta. Mesa, 1016, after having been duly sworn to in accordance with law, do hereby depose and state:
1. That I am a SOCIAL SECURITY SYSTEM (SSS)
Member under SSS No. 03-450537504;
2. That my SSS Records shows that I was employed
with Pacific Banking Corporation;
3. That I was never employed nor connected in any
capacity with the afore-said Pacific Banking Corporation and that my only employment in the past was with INTEL PHILIPPINES MFG, INC., UNIVERSITY OF STO. TOMAS, main Library and the Printing Office of the same University;
4. That in light of the foregoing, I most respectfully
request the SSS Office to delete or cause the deletion of my employment with the afore-said Pacific Banking Corporation from my SSS Records.
IN WITNESS WHEREOF, I hereunto set my hands this
19 th day of January 2017 at the City of Manila, Philippines.
ROSARIO ARALAR ESPOSO
Affiant
SUBSCRIBED AND SWORN to before me this 19 th day
of May 2017 at the City of Manila, Philippines, Affiant exhibiting to me her U.S.A. Passport No. 526051443 valid until March 25, 2025.
NOTARY PUBLIC Doc. No. Page No. Book No. Series of 2017.