Affidavit (SSS Retirement Profession)

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Republic of the Philippines )

CITY OF SAN PEDRO S.S


Province of Laguna
x-------------------------------------------x

AFFIDAVIT

I, AMELIA M. PABRUA, of legal age, Filipino and with residential and post office
address at 280 Garnet St. Adelina 1A San Antonio, City of San Pedro, Laguna, Philippines, after
having been duly sworn to in accordance with law, hereby depose and say;

1. That, I am Certified Public Accountant licensed by the Professional Regulation


Commission with Registration No. 0055678-97;

2. That, since September 2003 until the present time, I was not able to practice my
profession instead being a full time housewife;

3. That, verified by this affidavit, to be a matter of record, now and for all times, that I did
not practice my profession from September 2003 until present;

4. That I am executing this affidavit in order to attest to the truth of the foregoing
statements, to inform the authorities concerned, for filing of retirement in SSS and for all
legal intents and purposes this may serve best;

IN WITNESS WHEREOF, I have hereunto set my hand and affix my signature


below, this 23rd day of September, 2015 at the City of San Pedro Laguna.

AMELIA M. PABRUA
Affiant

SUBSCRIBED AND SWORN to before me this 23rd day of September, 2015 in City of
San Pedro Laguna. Affiant having exhibited to me her proof of Identity SSS I.D. No. 03-
4327898-4.

Doc. No: ________


Page No.:________
Book No.:________
Series of 2014

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