Republic of the Philippines

City of Zamboanga )s.s.

x------------------------------------x

AFFIDAVIT OF TERMINATION OF EMPLOYMENT

I, ________________, Filipino, of legal age, married, with resident

address at _____________________, Zamboanga City, after having been sworn
in accordance with law, hereby depose and state that:

1. I am a bona fide member of Social Security System (SSS) with

assigned SSS Number _______________;

2. I was an employee of _________________________________________

with office address at _________________________________________
from ___________ to ____________;

3. I was terminated from employment effective ____________ due to

redundancy;

4. I cannot secure an original copy of Notice of Termination from my

employer; and

5. I am executing this affidavit to attest to the truth and veracity of

the foregoing statements and to support my application for
unemployment insurance or involuntary separation benefit.

IN WITNESS WHEREOF, I hereby set my hands and affixed my

signature this _________________ at Zamboanga City, Philippines.

___________________
Affiant

SUBSCRIBED AND SWORN to before me this ________________ at

Zamboanga City, Philippines. Affiant exhibiting to me his _______ ID with No.
__________ issued on ________________ at __________________ and valid until
______________.

Doc. No.: ____

Page No.: ____
Book No.: ____
Series of 2020.