REPUBLIC OF THE PHILIPPINES)

CITY OF TARLAC )S.S.

AFFIDAVIT OF NO PENDING
CIVIL OR CRIMINAL CASE

I, ROSALINA L. TIMMALOG, of legal age, married, Filipino, resident of and with

postal address at Blk. 4 Pavahai Comembo, Makati City, after having been duly sworn to
an oath in accordance with law hereby depose and state;

1. That I am currently employed at the

2. That I have no pending case, criminal or civil, before my judicial authorities
or agency in the government;
3. That I am neither an advocate nor a mentor of any unlawful or subversive
organization that advocated the overthrow of the government or agency in
the government;
4. That I was never accused of any offense or crime involving moral turpitude,
neither one of the same nature or a pending case of anti-graft law (RA 3019)
against my person is pending before any prosecution office and judicial
authorities elsewhere in the Philippines;
5. That I am executing this affidavit to attest to the truth of all the foregoing
declarations and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this ____________ day

of _____________ at Tarlac City, Philippines.

ROSALINA L. TIMMALOG
Affiant

SUBSCRIBED AND SWORN to before me this ___________ day of __________

at Tarlac City, Philippines.

Doc No. ______;

Page No.______;
Book No.______;
Series of 2018