SAMPLE FORM  OF AFFIDAVIT – GENERAL FORMAT.

 

REPUBLIC OF THE PHILIPPINES )

Makati City                                  ) SS.

 

AFFIDAVIT

 

I, JUAN DELA CRUZ, of legal age, single and with address at xxxxxxxxxxxxx, under oath, state:

 

  1. THAT I __________________________;

 

xxxxxx

xxxxxx

 

 

  1. THAT I am executing this Affidavit to attest to the truth of the foregoing facts and to use the same for whatever legal purpose it may serve.

 

 

IN WITNESS WHEREOF, I hereunto affix my signature this xx March 2016 at Makati City.

 

 

_____________________

            Affiant

 

 

SUBSCRIBED AND SWORN TO before me, this _______________, Affiant exhibiting to me his/her  competent evidence of identity bearing his/her picture and signature as described below:

 

NAME TYPE OF ID. NUMBER DATE AND PLACE OF ISSUANCE/EXPIRY DATE.
 

JUAN DELA CRUZ

 

  

PASSPORT

  

A34567

  

ISSUED ON 3/5/16 AND EXPIRING ON 3/5/21.


WITNESS MY HAND AND SEAL at the place and on the date first-above written.

 

Doc. No. _______;                    

Page No. _______;                   

Book No. ______;

Series of _______.