Affidavit of Loss or

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REPUBLIC OF THE PHILIPPINES)

PARANAQUE CITY )S.S.

AFFIDAVIT OF NO EMPLOYEE

I, RAMIL DE LEON IGNACIO, of legal age, Filipino, and residents of 215 Don Jose St.,
A Hidalgo Pasaya City, after having been sworn to in accordance with law, hereby depose and say
that;

1. That I am the owner of R. Ignacio Ortho-Dental Clinic located at Baclaran, Paranaque City
and duly registered with BIR.

2. That since I operated the above-mentioned business, I personally supervised and managed
the said business;

3. That I do not have any employee/staff/worker employed on my said business, from the time
of operation until present;

4. That we are executing this affidavit to attest to the truth of the foregoing facts and
whatsoever this may serve

IN WITNESS WHEREOF, we have hereunto set our hands this 10 th day of March 2023, in the
City of Paranaque, Philippines.

RAMIL DE LEON IGNACIO


Affiant
PRC ID no. 0031994

SUBSCRIBED AND SWORN to before me, in the City of Paranaque, this 10 th day of
January 2024.

Doc. No.:
Page No.:
Book No.:
Series of 2024

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