Relationship Declaration Form

Student Details
Full Name : Alvin Mirabete
Date of Birth (MM/DD/YYYY) : 09/29/1991
Place of Birth : Castilla,Sorsogon

Declaration of Relationship
I hereby confirm that I reside at the address The Luzern 500 Chiquita Ave, Mountain View, CA
in the country New York U.S with (person's full name with who you are residing)
Joseline Mirabete who is my (relationship to you)
Mother for (duration of stay) 2025-2028

I reside at this address because

my mother work is there and my father is citizen of this country and i`m half of there love
half filipino and half american

✔ I have attached their valid government-issued photo identification.

I have attached a valid proof of address for this individual.

Signature ___________________________________________________

Date 04/04/2024

MPOWER Financing, Public Benefit Corporation

www.mpowerfinancing.com