REPUBLIC OF THE PHILIPPINES )

CITY OF ______________________ ) S.S.

AFFIDAVIT OF EMPLOYMENT

I, ______________________, of legal age, Filipino and a

resident of ______________________, after having been sworn to
in accordance with law, do hereby depose and say:

That I am hereby submitting a statement of my employment,

hence, this affidavit;

That I am a former employee of ______________________

as a ______________________ from ______________________
to ______________________;

That I am hereby attaching my Certificate of Employment as

Annex “A’;

That I am executing this affidavit to attest the veracity of the

foregoing facts and to inform the proper authorities concerned
and for whatever legal purpose and intent this may serve.

IN WITNESS WHEREOF, I have hereunto signed my name

this ___ day of ______________________ at
______________________, Philippines.

______________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of

______________________ at ______________________, affiant
presented to me as her competent proof of identity her ID with no.
______________________ issued on ______________________ and
valid until ______________________.

Doc. No. ______;

Page No. _____;
Book No. _____;
Series of 2017.