REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ZAMBOANGA DEL SUR)
MUNICIPALITY OF MOLAVE ) S. S.
X- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - X
AFFIDAVIT OF NO EARNINGS
I, _____________________, Filipino, of legal age, married, and a
resident of Rizal Avenue, Molave, Zamboanga del Sur, Philippines,
after having been duly sworn to in accordance with law, hereby
depose and say, THAT:
1. I am a member of the Social Security System (SSS);
2. I am self-employed and I have no more job and neither did I
have any gainful means of livelihood since June 30, 2017;
3. I am dependent for support from my children;
4. This affidavit is executed in order to state for the records the
facts of herein stated and for any legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 9 th
day of
October 2017 in Molave, Zamboanga del Sur, Philippines.
___________________________
Affiant
SSS ID No. 10-0475576-1
SUBSCRIBED AND SWORN to before me this 9th day of
October 2017 in Molave, Zamboanga del Sur, Philippines.
Doc. No.: 495;
Page No.: 99;
Book No.:XIII;
Series of 2017.