REPUBLIC OF THE PHILIPPINES)

_________________________)

AFFIDAVIT OF NO PENDING CASE

I, ________________________________, Filipino citizen, of legal age,

single/married/widow/widower, and a resident of _______________________________,
after having been duly sworn in accordance with law, hereby depose and say that:

1. That I have no pending case, administrative, criminal or civil, before any judicial
authorities or agency in the government;

2. That I am neither an advocate nor a mentor of any unlawful or subversive

organization that advocated the overthrow of the government or agency in the
government;

3. That I was never accused of any offense or crime involving moral turpitude,
neither one of the same nature or a pending case of anti-graft law (RA 3019)
against my person is pending before any prosecution office and judicial
authorities elsewhere in the Philippines; and,

4. That I am executing this affidavit to attest to the truth of all the foregoing
declarations and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_________________, ___________________Philippines.

____________________________
Affiant
ID NO.____________________

SUBSCRIBED AND SWORN before me this ________________ at

___________________. Affiant exhibited to me his/her identification document indicated
below his/her name.

WITNESS MY HAND and NOTARIAL SEAL at date and place above written.

Doc. No. ____;

Page No. ____;
Book No.____;
Series of ____.