Republic of the Philippines)

) S.S

AFFIDAVIT OF DISCLOSURE OF
NON-CONFLICT OF INTEREST WITH THE DENR

I, _________________, of legal age, Filipino, single and presently residing at

________________ hereby depose and state that:

1. I am not in anyhow related or affiliated with any of the appointing or recommending

authority or officers of the Department of Environment and Natural Resources; and

2. Since September 2017 and up to date, there is no existing conflict of interest with my
application for employment with the Department of Environment and Natural
Resources.

Signed this at , Philippines.