Affidavit For Change Residency

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC : S.S


MUNICIPALITY OF BAMBAN )

AFFIDAVIT
I, _____________________________, of legal age, Filipino, single, with residence and
postal address at __________________________________________________________ , after
having been duly sworn to in accordance with law, do hereby depose and say;

THAT —

1. I am an enrolled student of the Dominican College of Tarlac, Capas, Tarlac,


taking up an Bachelor of Elementary Education Course;

2. When I enrolled on the said school, I used to reside at Rolling Hills, Bamban,
Tarlac and the same address was recorded in my student records on the said
school;

3. Recently, we transferred our residence from _____________________________ to


__________________________________________________________ ;

4. To reflect my true and recent address, I am requesting the management of


Dominican College of Tarlac, Capas, Tarlac, to properly indicate my recent and
latest address in all my school records thereat;

5. I am executing this Affidavit to attest to the truth of all the foregoing statement; to
inform the management of Dominican College of Tarlac, Capas, Tarlac, to reflect
in my school records my recent and latest address; and for all legal intents and
purposes it may lawfully serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


_____________________________ at Bamban 2317, Tarlac, Philippines.

_____________________________
Affiant
ID No. ___________________
Valid Until: _______________

SUBSCRIBED AND SWORN to before me this _____________________________


at Municipality of Bamban, Province of Tarlac, Philippines

WITNESS MY HAND AND SEAL.

Doc. No. ______;


Page No. ______;
Book No. _____;
Series of 2020.

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