REPUBLIC OF THE PHILIPPINES )

CITY OF PASAY ) S.S.

AFFIDAVIT

I <<name>> of legal age, Filipino, married/single and a resident of <<address>>

hereby depose and declare effective <<date>>.

1. That I am being appointed as employee of the Senate with designation

<<designation>> of the Office of <<insert senator>>;

2. That I was not a candidate in any elective position last election;

3. That I am aware of the provision of the Constitution, particularly Section 6

of Article IX, B. The Civil Service Commission, as follows:

“No candidate, who has lost in any election shall, within one (1)
year after such election, be appointed to any office in the
government or any government owned or controlled corporations
or in any of their subsidiaries.”

4. That this affidavit is executed to certify to the truth of the above statement.

FURTHER, affiant sayeth naught.

Pasay City, _______________, 2019.

DENYA GRACIA J. UY- ANASTACIO

AFFIANT

SUBSCRIBED AND SWORN TO BEFORE ME THIS ___________________ day of

__________________________, 2019 at Pasay City, affiant issued on
_______________ at _________________.

NOTARY PUBLIC

Doc No. _____

Page No._____
Book No. _____
Series of 2019.