REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ________ )
CITY OR MUNICIPALITY OF ________ ) S.S.
REPUBLIC OF THE PHILIPPINES )
CITY OF ________ ) S.S.
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ________ )
CITY OF ________ ) S.S.
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ________ )
MUNICIPALITY OF ________ ) S.S.
AFFIDAVIT OF PERSONAL SERVICE
I, ________, Filipino, of legal age, single/married, with residence and postal address at ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
I, ________, Filipino, of legal age, single, with residence and postal address at ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
I, ________, Filipino, of legal age, married, with residence and postal address at ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
I, ________, Filipino, of legal age, widowed, with residence and postal address at ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
I, ________, Filipino, of legal age, legally separated, with residence and postal address at ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
§ 1. I am the sender/server of the document denominated as "________", dated ________ (the "Document"), a true copy of which is hereto attached and made an integral part hereof as Annex "A";
§ 1. I am the sender of the document denominated as "________", dated ________ (the "Document"), a true copy of which is hereto attached and made an integral part hereof as Annex "A";
§ 1. I am the server of the document denominated as "________", dated ________ (the "Document"), a true copy of which is hereto attached and made an integral part hereof as Annex "A";
§ 2. On ________, at approximately ________, I personally served and delivered an original/duplicate original copy of the said Document upon the recipient, ________ (the "Recipient");
§ 2. On ________, at approximately ________, I personally served and delivered an original/duplicate original copy of the said Document upon the recipient, ________, a corporation duly organized and existing under the laws of the Philippines, with SEC Registration No. ________ (the "Recipient");
§ 3. The Document was personally served upon and received by the Recipient at the latter's address located at ________;
§ 4. In acknowledgment of such personal service, the Recipient, through ________, affixed his/her/its signature upon the receiving copy of the Document, indicating thereon the date and time of receipt, a copy of which receiving copy is hereto attached as Annex "B";
§ 4. In acknowledgment of such personal service, the Recipient, ________, personally affixed his signature upon the receiving copy of the Document, indicating thereon the date and time of receipt, a copy of which receiving copy is hereto attached as Annex "B";
§ 4. In acknowledgment of such personal service, the Recipient, through ________, affixed his signature upon the receiving copy of the Document, indicating thereon the date and time of receipt, a copy of which receiving copy is hereto attached as Annex "B";
§ 4. In acknowledgment of such personal service, the Recipient, ________, personally affixed her signature upon the receiving copy of the Document, indicating thereon the date and time of receipt, a copy of which receiving copy is hereto attached as Annex "B";
§ 4. In acknowledgment of such personal service, the Recipient, through ________, affixed her signature upon the receiving copy of the Document, indicating thereon the date and time of receipt, a copy of which receiving copy is hereto attached as Annex "B";
§ 4. In acknowledgment of such personal service, the Recipient, through ________, affixed its signature upon the receiving copy of the Document, indicating thereon the date and time of receipt, a copy of which receiving copy is hereto attached as Annex "B";
Xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx xxx xxxx.
Xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ________ day of ________, at ________, Philippines.
________
Affiant
ACKNOWLEDGMENT / JURAT
SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, affiant ________ personally appearing before me and exhibiting to me competent evidence of identity in the form of Postal ID No. ________, valid until ________, the affiant being known to me and to me known to be the same person who executed and voluntarily signed the foregoing Affidavit, and who acknowledged to me that the same is his/her free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, affiant ________ personally appearing before me, the affiant being personally known to me to be the same person who executed and voluntarily signed the foregoing Affidavit, and who acknowledged to me that the same is his free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, affiant ________ personally appearing before me and exhibiting to me competent evidence of identity in the form of Postal ID No. ________, valid until ________, the affiant being known to me and to me known to be the same person who executed and voluntarily signed the foregoing Affidavit, and who acknowledged to me that the same is his free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, affiant ________ personally appearing before me, the affiant being personally known to me to be the same person who executed and voluntarily signed the foregoing Affidavit, and who acknowledged to me that the same is her free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, affiant ________ personally appearing before me and exhibiting to me competent evidence of identity in the form of Postal ID No. ________, valid until ________, the affiant being known to me and to me known to be the same person who executed and voluntarily signed the foregoing Affidavit, and who acknowledged to me that the same is her free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, affiant ________ personally appearing before me, the affiant being personally known to me to be the same person who executed and voluntarily signed the foregoing Affidavit, and who acknowledged to me that the same is his/her free and voluntary act and deed.
WITNESS MY HAND AND NOTARIAL SEAL on the date and at the place above written.
________
NOTARY PUBLIC
Doc. No.: ________;
Page No.: ________;
Book No.: ________;
Series of ________.
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