Republic of the Philippines )

Camiling Tarlac
) S.S.

AFFIDAVIT OF NON EMPLOYMENT

I, GERALDINE PETERO RAMALES, 20 years old, Filipino citizen, single and
a resident of Barangay Malacampa, Camiling, Tarlac, Philippines, after having been
duly sworn to in accordance with law, do hereby depose and state THAT:
1. To this date, I am not employed in any capacity at any corporation,
company, individual person or with the government;
2. I am executing this Affidavit of Non-Employment to attest to the truth
of the foregoing and to support my application for Correction of Clerical
Error for R.A. 10172 (GENDER) in my Certificate of Live Birth before the
Office of the Municipal Local Civil Registrar of Camiling, Tarlac;
3. I am executing this Affidavit to attest to the truth of the foregoing
statements and for whatever legal purposes and intents this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 11th day of
May, 2015 at Camiling, Tarlac, Philippines.
GERALDINE P. RAMALES
Affiant
SUBSCRIBED AND SWORN to before me on the date and place indicated
above. Affiant exhibited to me his PhilHealth ID bearing his PIN 03-051228141-5
issued by the Philippine Health Insurance Corporation.