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    Affidavit of No Income SAMPLE

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    Francisco T. Del Castillo
    I, [name], declare in this affidavit that I am a full-time student without income who is dependent on my parents for financial support. I am a member of PhilHealth with identification number [number], and am executing this affidavit to attest that I have no income in order to make voluntary contributions to PhilHealth through my parents.

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    Affidavit of No Income SAMPLE

    Uploaded by

    Francisco T. Del Castillo
    108 views1 page
    I, [name], declare in this affidavit that I am a full-time student without income who is dependent on my parents for financial support. I am a member of PhilHealth with identification number [number], and am executing this affidavit to attest that I have no income in order to make voluntary contributions to PhilHealth through my parents.

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    © © All Rights Reserved

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    I, [name], declare in this affidavit that I am a full-time student without income who is dependent on my parents for financial support. I am a member of PhilHealth with identification number [number], and am executing this affidavit to attest that I have no income in order to make voluntary contributions to PhilHealth through my parents.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    108 views1 page

    Affidavit of No Income SAMPLE

    Uploaded by

    Francisco T. Del Castillo
    I, [name], declare in this affidavit that I am a full-time student without income who is dependent on my parents for financial support. I am a member of PhilHealth with identification number [number], and am executing this affidavit to attest that I have no income in order to make voluntary contributions to PhilHealth through my parents.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES)

    CITY OF CAGAYAN DE ORO ) S.S.

    AFFIDAVIT OF NO INCOME

    I, ______________________, of legal age, single, Filipino and a resident


    of ________________________, Philippines, after being sworn to in accordance
    with law hereby depose and say that:

    I am a bonafide member of the Philippine Health Insurance Corp.


    (Philhealth) with assigned I. D. No. ______________;

    I am a full-time student of _____________. I am fully dependent on my


    parents for financial support as I am not gainfully employed. Through them, I
    intend to give voluntary contribution for my membership with Philhealth;

    I am executing this affidavit to attest to the truth of the foregoing statement


    and for whatever purpose this may serve.

    IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd day of


    January 2020 in Cagayan de Oro City.

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