Affidavit of Certification-Melanio Carlos

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Republic of the Philippines)

Done: In the City of Baguio) s.s.


AFFIDAVIT OF CERTIFICATION
I, MELANIO T. CARLOS, of legal age, Filipino Citizen and a resident of
Piake, Ampucao, Itogon, Benguet, Philippines, after having been duly sworn
to in accordance with law hereby depose and state that:
1 I am the uncle of JESRAEL T. CARLOS, who is applying for
scholarship;
2 My nephew Jesrael T. Carlos is staying with me since he was a child;
3 I hereby certify under oath that my nephew stayed with me at my
house at Piake, Ampucao, Itogon, Benguet, since he was a child
until now;
4 I am executing this Affidavit to attest to the truth of the foregoing
facts and to support the application of my nephew for scholarship
program and for all legal intents and purposes it may serve.
IN WITNESS HEREOF, I have hereunto set my hand this 14 th day of
April, 2015 at Baguio City, Philippines.

MELANIO T. CARLOS
Affiant
SUBSCRIBED AND SWORN to before me this 14th day of April, 2015
at Baguio City, Philippines. Affiant personally appears and to be the same
person who executed this instrument as his free act and deed.

MODESTO T. ANDONG
Notary Public
Commission No. 30-NC-14-R/Until: December 31, 2015
PTR No. 2010843/1-05-15/Baguio City
IBP No. 0980515/1-05-15/Baguio-Benguet Chapter
Roll No. 31289/5-15-81/Manila
MCLE COMPLIANCE No. V-0002709/July 3, 2014
Community Tax Certificate Number 15051806
Issued On: January 5, 2015
Issued At: Baguio City
No. 13-B, 2nd Floor Old Market Bldg.,
Magsaysay Ave., Baguio City, Philippines

Doc. No. 030;


Page No. 006;
Book No. XII;
Series of 2015.

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