REPUBLIC OF THE PHILIPPINES)

PROVINCE OF BUKIDNON) SS.

MUNICIPALITY OF )

AFFIDAVIT
I, , of legal age, Filipino, married and a resident of , Bukidnon,
after having been duly sworn to in accordance with law do hereby
depose and say:

1. That I am the father of , who was born on at

2. That my daughter is a 4th year student of taking Bachelor of

Science in Agriculture Major in Agronomy

3. That I am a farmer and our household expenses are completely

depending on my income.

4. That my estimated monthly income is Five Thousand Pesos

(5,000) derived from farming.

5. That I am executing this affidavit as a requirement for my

daughter’s scholarship application.

6. Further, I am executing this affidavit to attest to the veracity of

the foregoing facts and for whatever worth this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this 20th day of October, 2023 in Pangantucan, Bukidnon.

AFFIANT

SUBSCRIBED AND SWORN to before me this 20th day of

October, 2023 at Pangantucan, Bukidnon, affiant having exhibited to
me his

Doc No.
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Book No.
Series of 2023.