Republic of the Philippines )

City of ________. )S.S.

x- - - - - - - - - - - - - - - - - - - -----x
AFFIDAVIT OF SERVICE
I, ________________, of legal age, _________, Filipino and
____________________________________________, after having duly
sworn to in accordance with law hereby depose and state:

1. That, I am the staff at ________________________;

2. That, on ______________, at about _________, for and in behalf

of our client ___________________, I went to
________________, located at ___________________to
personally serve the Demand Letter dated ___________
addressed to _____________, who is the President/Owner
____________________;

3. That when I reached the aforesaid place of ________________,

___________________was not around. Hence I personally served
the said Demand Letter to ________________who is the HR
Manager of the said _________________________, on the above-
stated date, but he refused to affix his signature to the receiving
copy of the Demand Letter and refused to acknowledge receipt;

4. That, despite of ______________refusal to affix his signature to

the receiving copy of the same, I left him the copy of the aforesaid
Demand Letter for _________________;

5. That I have executed the foregoing to attest to the truth hereof and
for whatever legal purposes or intents this may deem worth.

IN WITNESS WHEREOF, I have hereunto affixed my signature

below this affidavit this____________ here at ______________.

_________________
Affiant

Subscribed and sworn to before me this __________ here at

_________________. Affiant exhibited to me his identification card written
below his name and signature.

Doc No. _____

Page No. _____
Book No. _____
Series of 2017