AFFIDAVIT FOR APPLICATION FOR EDUCATIONAL FINANCIAL ASSISTANCE

AFFIDAVIT

1. AFFIDAVIT

2. REPUBLIC OF THE PHILIPPINES ) PROVINCE OF _________________ ) CITY OF _______________ ) S.S. X - - - - - - - - - - - - - - - - - - - - - - - - - - - X   AFFIDAVIT   I, _______________ , of legal age, single/married and a resident of ________________________________________, Philippines, after having been sworn to in accordance with law, do hereby depose and say THAT : I am a student of ____________________________ at ___________________________. Enrolled for School Year – _____________;   I am not a recipient nor have I applied for any scholarship grant or any Nationally Funded Financial Assistance Program, and violation of such shall mean automatic forfeiture of the assistance and disqualification of my application for the __________________________ offered by the ______________________;   I am executing this Affidavit to attest to the truth of the foregoing facts and for whatever legal purpose it may serve.   IN WITNESS WHEREOF , I have set my hand this ________________ at ______________, Philippines.    __________________________ Affiant   SUBSCRIBED AND SWORN to before me this ___________________ at ______________________________, Philippines, affiant exhibiting to me her Competent Evidence of Identity. Doc. No.: __ ; Page No.: ___ ; Book No.: __ ; Series of _____.