REPUBLIC OF THE PHILIPPINES)
PROVINCE OF LA UNION ) SS.
MUNICIPALITY OF BALAOAN)
X-------------------------------------------X
AFFIDAVIT
I, AAA, of legal age, Filipino citizen, married, and a resident of
____________, after being duly sworn to on oath, hereby depose and say:
1. That I served as the barangay captain of _____________, from 2013 to
2018;
2. That during my term of office as barangay captain, I was not employed in
the government;
3. That as such, I did not receive any form of salary or compensation during
my term of office, except honorarium for holding a position in an ex-
officio capacity;
4. That I am executing Affidavit to attest to the truthfulness of the foregoing
and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of
October 2021, in the ____________, La Union, Philippines.
AAA
Affiant
ID No.: ________
SUBSCRIBED AND SWORN TO before me this 15th day of October 2021,
in the Municipality of Balaoan, La Union, Philippines. Affiant personally appeared
before me.