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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF TARLAC )
MUNICIPALITY OF CAMILING )

AFFIDAVIT OF AUTHENTICITY OF DOCUMENT

I, ROWENA DELA CRUZ BAUTISTA, of legal age, Filipino, single, resident of No. 295
Purok 3 Barangay Sta. Maria Camiling, Tarlac, after having been sworn to an oath in accordance with
law, do hereby depose and state:

That, I am the person named in the birth certificate issued by the Philippine Statistics
Authority (PSA);

That, I am the person named in the identification card issued by the Professional Regulation
Commission (PRC) as a registered CPA from May 20, 2009, renewable every three (3) years subject
to the rules of the profession;

That said credentials or documents are correct, valid, and authentic;

That, I am executing this affidavit to attest to the truth of the foregoing circumstances and to
attest to the validity and authenticity of the documents submitted;

IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of


______________, 2021, in Camiling Tarlac, Philippines.

________________________________
ROWENA DELA CRUZ BAUTISTA
Affiant

SUBSCRIBED AND SWORN to before me this ________ day of ____________, 2021 in


Camiling Tarlac, Philippines by affiant, known to me to be the same person who executed and
personally signed the forgoing instrument before me and avowed under penalty of law to the whole
truth of the contents of said instruments.

Doc. No. _______


Page No. _______
Book No. ______
Series of _______

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