Republic of the Philippines)

City of Mandaue )S.S.

AFFIDAVIT OF CHANGE OF ADDRESS

I, JUAN DELA CRUZ, Filipino, of legal age, married, and a resident of San
Nicolas, Cebu City, Cebu after being sworn to in accordance with law depose
and state that:

1. I am a Professional Driver with Professional Driver’s License No.

11010111;

2. My Driver’s License will expire on January 1, 2018;

3. In my existing Driver’s License my address is Ormoc City, Leyte;

4. My current address is San Nicolas, Cebu City;

5. That I execute this affidavit to attest to the truth of the foregoing and
in support of my application for the renewal of my Professional Driver’s
License with my current address appearing thereon.

IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of

January 2018 in the City of Mandaue, Philippines.

JUAN DELA CRUZ

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this 9th day of January 2018,
Affiant exhibited his Professional Driver’s License No. 1111101011.

Doc. No. ______;

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