Escolar Documentos
Profissional Documentos
Cultura Documentos
)S.S.
)
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_________________
Affiant
SUBSCRIBED AND SWORN to before me this ________________ at
_______________, Philippines. Affiant exhibited to me her _______________ with ID No.
_________________ bearing her photograph and genuine signature as competent proof of
her identity.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2017.