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Manila, ____________________

Date

DECLARATION OF RESIDENCE

Here are my complete addresses of residence from 15 years old up to the


present:
(Pakisulat ang mga naging tirahan o address/es mula ika-15 taong gulang
hanggang sa kasalukuyan.)

Inclusive Dates Address


(Years and Age) (Tirahan)
(Taon o Edad)

_____________________________
Signature over printed name

(For minors, signature of parent/guardian)


A declaration of residence in English language stating the complete
address(es) in the Philippines from age 15/since birth (including detailed
information to the addresses i.e. street, house number, etc.; and if applicable,
as well as a sketch/draft with the nearest landmark) is strictly required to be
submitted by the applicant.

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