You are on page 1of 1

REPUBLIC OF THE PHILIPPINES

Province of Negros Occidental)S.S.


City of Bacolod )

AFFIDAVIT

I, JUANITO B. MAGBANUA JR., of legal age, single, and a resident


of Hda. Adriana #2 E Lopez , Silay City, Negros Occidental, after having
been duly sworn to in accordance with law, do hereby depose and state the
following:

1. That I am a voluntary member of the Social Security Service (SSS)


with UMID ID No. CRN 0007-1780808-7;

2. That I am self-employed as I have no employer other than myself


and derive income from my physical and mental efforts in the
business of marketing, buying and selling of various merchandise or
commodities from November 2017 until the present;

3. That my monthly income ranges from 3,000 pesos to 4, 000 pesos;

4. That I intend to avail of the SSS Education Loan Program for the
college education of my younger brother JAKE B. MAGBANUA;

5. That I am executing this affidavit to attest to the truth of the


foregoing and for whatever legal purposes that his statement may
serve.

IN WITNESS WHEREOF, I have hereunto set my hands this


_____________________, in the City of Bacolod, Philippines.

JUANITO B. MAGBANUA JR.


AFFIANT

WITNESSED BY:
___________________________ __________________________

SUBSCRIBED AND SWORN to before me, this


__________________________, by JUANITO B. MAGBANUA JR. who
exhibited to me his UMID ID No. CRN 0007-1780808-7 issued at Bacolod
City, Philippines.

Doc No. _______


Page No. _______
Book No. _______
Series of 2018

You might also like