REPUBLIC OF THE PHILIPPINES ) ___________________________ _________________________ __ ) S.S.
AFFIDAVIT OF NO RELATION
I, , of legal age, Filipino citizen with principal address at , after having been duly sworn to in accordance with the law, hereby depose and state that: 1. I have no relatives by consanguinity nor affinity within the fourth (4th) civil degree currently employed in the ; 2. I am executing this Affidavit to attest to the truth of the foregoing and for whatever legal purpose/s this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this __ day of __, 2017 at ____________ City.
__________________________ Affiant SUBSCRIBED AND SWORN to before me this ____ day of ______________ ________, Affiant exhibited to me his _________________________ ___________________________, __, a government-issued ID with number ___________________, bearing his photo and signature, expiring on ____________________. Doc. No. _________; Page No. _________; Book No. _________; Series of _____.