Republic of the Philippines )

_______________ ) S.S.

AFFIDAVIT

KNOW ALL MEN BY THESE PRESENTS:

I, _______________, Filipino, of legal age, with address at ________________ do hereby depose

and state:

1. That I am a Philippine passport holder with details attached herein as Annex “A”;
2. That a translation of my Philippine passport is required by the Manila Economic and
Cultural Office of Taiwan, ROC;
3. That I have caused a translation of the said Philippine passport into the Chinese Language
which is herein attached as Annex “B.

Affiant further sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of February 2020, in
_____________________, Philippines

Name of Affiant
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of February 2020, with affiant exhibiting
to me his _________________ issued on _______________ at ______________.

NOTARY PUBLIC

Doc No. ______;

Page No. ______;
Book No. ______;
Series of 2020
Republic of the Philippines )
_______________ ) S.S.

AFFIDAVIT

KNOW ALL MEN BY THESE PRESENTS:

I, Ma. Julia Sampole, Filipino, of legal age, with address at REHUB Bldg, 12 Quezon Avenue,
Quezon City do hereby depose and state:

1. That I am the authorized representative of Ms. Norma Sy Flores, specifically empowered

to cause the authentication of the Chinese translation of his/ her Philippine passport;
2. That the details of her passport attached herein as Annex “A”;
3. That a translation of Ms. Norma Sy Flores’ Philippine passport is required by the Manila
Economic and Cultural Office of Taiwan, ROC;
4. That I have caused a translation of the said Philippine passport into the Chinese Language
which is herein attached as Annex “B.

Affiant further sayeth none.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of February 2020, in
_____________________, Philippines

Name of Affiant
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of February 2020, with affiant exhibiting
to me his _________________ issued on _______________ at ______________.

NOTARY PUBLIC

Doc No. ______;

Page No. ______;
Book No. ______;
Series of 2020