Republic of the Philippines)

Republic of the Philippines)

City of ________________)

AFFIDAVIT

I _________________, of legal age, __________________, with postal address at_________________ after having duly sworn in accordance with law hereby depose and state:

That I am presently employed with the __________________ as position______________________;

That I am employed with the __________________ since or for a period of _______________;

That I was designated as ____________________________ who will participate in the 2013 Provincial Meet at ___________________________;

That I have been coaching since ______________;

That all the athletes records submitted are true and correct to the best of my knowledge;

That I attest to the authenticity of all the documents submitted.

__________________

Affiant/Coach

SUBSCRIBED and sworn to before me in ______________, this day ____________of month 20___, affiant executing his/her Community Tax Certificate No. ___________, issued at _________ on _____________.

_______________________

Notary Public

Doc. No. _________

Page No.__________

Book No._________

Series of _________