Professional Documents
Culture Documents
Province of __________________ )
Municipality/City of ____________ ) S.S.
x - - - - - - - - - - - - - - - - - - - - - - - -x
IN WITNESS WHEREOF, I have hereunto affixed my signature this _______ day of _____________
20____ at __________________________ City, Philippines.
__________________________________
Affiant
CTC/Valid ID No. _____________________
Issued by __________________________
JURAT
SUBSCRIBED AND SWORN TO BEFORE ME, Affiant having exhibited his/her competent proof of
identity as written under his/her name.
________________________ City, Philippines, ________, 20____.
Doc. No._____;
Page No._____;
Book No._____;
Series of 20___.