Republic of the Philippines)

City of _____Iligan___________)

AFFIDAVIT

I ____Ronald Flavio G. Manquiquis____, of legal age, _________28 y/o_________,

with postal address at__Bayanihan Village, Sta. Elena, Iligan
City_______________________________ after having duly sworn in accordance with law
hereby depose and state:

That I am presently employed in __La Salle Academy____as___Taekwondo

Instructor_;

That I am presently employed in La Salle Academy since January 2019 or for a

period of 13 Months;

That I was designated as coach of the_Taekwondo Secondary _; who will participate

in the 2019 Palarong Pambansa.

That all the athletes records submitted are true and correct to the best of my personal
knowledge;

That all the athletes are not members of the National Team, National Training Pool
and Development Pool receiving monthly stipend/allowance from the Philippine Sports
Commission (PSC);

That all the athletes of Iligan City, who will participate in the 2019 Palarong
Pambansa are eligible to play;

That I execute this Affidavit to attest to the authenticity and veracity of all the
documents submitted.

______________________, __________________

Ronald Flavio G. Manquiquis

Affiant

SUBSCRIBED and sworn to before me in ______________, this day

____________of month 20___, affiant executing his/her Community Tax Certificate No.
___________, issued at _________ on _____________.

_______________________
Notary Public

Doc. No. _________

Page No.__________
Book No._________
FOR PALARONG PAMBANSA ONLY
Series of _________

FOR PALARONG PAMBANSA ONLY