REPUBLIC OF THE PHILIPPINES SS

CITY OF

AFFIDAVIT OF MODUS OPERANDI

I, __________________________________, of legal age, married, with address

at ____________________________________________ after being sworn according to
law, hereby depose and say:

1. That I am the (position) of (organization) , a non-stock, non-profit

organization incorporated at _________________________________

2. That the said organization shall implement the following projects and
activities in the next two (2) years:
PROJECTS / ACTIVITIES YEAR 1 YEAR 2

3. That these amounts of funds shall be accessed from the following sources in the next two
years:
AMOUNT YEAR 1 YEAR 2

4. That (other relevant information)

IN WITNESS WHEREOF, I have hereunto affixed my signature this day of ____

________________ in _______________________________.

__________________
Affiant

SUBSCRIBED AND SWORN TO before me this day of __________________ at

_______________________. Affiant exhibited to me his ____________ issued at _____
on __________________________.

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