You are on page 1of 2

Republic of the Philippines)

City of Zamboanga )s.s.


X---------------------------------X
AFFIDAVIT OF MECHANIC
I, BERNARDINO J. NERI, of legal age, Filipino citizen, and a resident of San Jose
Gusu, Zamboanga City, Philippines, after having been duly sworn to in accordance with law,
hereby depose and say that;
1. I am an automotive mechanic by profession of Maguindanao Distribution System, Inc.,
with business address at Gov. Ramos Cor. San Roque, 3rd St., San Roque, Zamboanga
City, Philippines;
2. Our company own a certain motor-vehicle, which is more particularly described as
follows;
a. MAKE : KAWASAKI
TY\PE OF BODY : MOTORCYCLE
CHASSIS NO. : BC175H-B27057
ENGINE NO. : BC175AELG0243
CERTIFICATE OF REGISTRATION NO : 290997895
b. MAKE : KAWASAKI
TY\PE OF BODY : MOTORCYCLE
CHASSIS NO. : BC175H-B27056
ENGINE NO. : BC175AELG0244
CERTIFICATE OF REGISTRATION NO : 290997894
c. MAKE : KAWASAKI
TY\PE OF BODY : MOTORCYCLE
CHASSIS NO. : BC175H-B27288
ENGINE NO. : BC175AELG0672
CERTIFICATE OF REGISTRATION NO : 290997906
d. MAKE : KAWASAKI
TY\PE OF BODY : MOTORCYCLE
CHASSIS NO. : BC175H-B27289
ENGINE NO. : BC175AELG0614
CERTIFICATE OF REGISTRATION NO : 290997910
e. MAKE : KAWASAKI
TY\PE OF BODY : MOTORCYCLE
CHASSIS NO. : BC175H-B29328
ENGINE NO. : BC175AELG3992
CERTIFICATE OF REGISTRATION NO : 290997862

f. MAKE : KAWASAKI
TY\PE OF BODY : MOTORCYCLE
CHASSIS NO. : BC175H-B29329
ENGINE NO. : BC175AELG3993
CERTIFICATE OF REGISTRATION NO : 290997873
to change the denomination of those above-described six (6) single motorcycle without
side car to motorcycle with side car;
3. I make these statements under oath and in good faith in order to establish the fact that I
change the denomination of those above-described single motorcycle from motorcycle
without side car to motorcycle with side car;
4. I execute this Affidavit voluntarily to attest to the truth of the foregoing facts based on
personal knowledge and authentic records and in compliance with the requirement of the
Land Transportation Office for whatever purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand on this ___ day of November 2017
in the City of Zamboanga, Philippines.

BERNARDINO J. NERI
Affiant
SUBSCRIBED AND SWORN to before me this ___ day of November 2017 at
Zamboanga City, Philippines, Affiant exhibited to me his TIN ID bearing number 181-435-563
issued at Zamboanga City, Philippines.
Doc. No. ___
Page No. ___
Book No. ___
Series of 2017

You might also like