REPUBLIC OF THE PHILIPPINES }

QUEZON CITY } S. S.

A F F I D A V I T OF NON-EMPLOYMENT
I, RUBEN J. SALAZAR, of legal age, Filipino, with postal address at Block
3 Lot 7 Nova Romania Ph2 Camella Homes Bignay Valenzuela City Metro
Manila and provincial address at Capandanan Lingayen Pangasinan and after
having been duly sworn in accordance with law, hereby certify that:

1. That as of the present time, I am not employed in any capacity at any

private or government corporation, company, and to any individual person;

2. That I have applied for the correction of my record specifically my first

name from Robin to Ruben and my date of birth to July 3, 1952 to July 4,
1952 in the original local/NSO Birth Certificate

3. I am executing this Affidavit of Non- Employment to attest to the truth of

the foregoing facts and to support my application for the correction of my
records specifically my first name from Robin to Ruben and my date of
birth to July 3, 1952 to July 4, 1952 in the original local/NSO Birth
Certificate

IN WITNESS WHEREOF, I have hereunto affixed by signature this

___________________________________.

RUBEN J. SALAZAR
Affiant

SUBSCRIBED AND SWORN to before me this_________

affiant exhibited to me her Senior Citizen ID control No. 31871.

NOTARY PUBLIC
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2018.