REPUBLIC OF THE PHILIPPINES )

CITY OF PASIG

AFFIDAVIT OF SEPARATION OF EMPLOYMENT

I, MARIBEL ASI CALIOS, Filipino, of legal age, single/married, with residence/postal

address at 745 MANGGA STREET TEACHER’S VILLAGES SAN MIGUEL, PASIG CITY, 1600 After
having been sworn in accordance with law, hereby depose and state that:
1. I am a bona fide member of the Social Security System (SSS) with assigned SSS
number 04 – 0942131 – 6

2. I was an employee of FRONTFORCE MANPOWER SERVICES INC with office address

at with office address at with office address at 1100 Kamias Road 99, Quezon City
from January 1, 2016 to June 22, 2021;

3. I was terminated from employment effective JUNE 22, 2021 due to RETRENCHMENT
OR DOWNSIZING;

4. I cannot secure a Notice of Termination from my employer; and

5. I am executing this affidavit to attempt to the truth and veracity of the foregoing
statement and to support my application for unemployment Insurance or
involuntary separation benefit/

IN WITNESS WHEREOF, I hereby set my hand and affix my signature this

_________________ at ______________, Philippines.

MARIBEL ASI CALIOS

AFFIANT

SUBSCRIBED AND SWORN to before me this _____________________ at

____________________
Affiant exhibiting to me his/her valid government ID SOCIAL SECURITY ID with ID number 33 –
5002809 – 8.

Doc No. ______________

Page No. _____________
Book No. _____________
Series of 2021