I, ______________________________, ___________ citizen, of legal age and presently residing
at ___________________________________________________________________________________
after having been duly sworn in accordance with the law, hereby depose and state that:
I am submitting these documents from ______________________________________________
as part of the requirements in the Philippines for _____________________________________________
___________________________________________________________, to wit:
at ___________________________________________________________________________________
after having been duly sworn in accordance with the law, hereby depose and state that:
I am submitting these documents from ______________________________________________
as part of the requirements in the Philippines for _____________________________________________
___________________________________________________________, to wit: