Embassy of the Republic of the Philippines ) S. S.
Consular Section
Abu Dhabi, United Arab Emirates
)
AFFIDAVIT
I, _______________________________________, Filipino, of legal
age, presently residing in ________________________________, after
having been duly sworn in accordance with law, do hereby depose and state:

That I am a Roman Catholic by faith and that I am a practicing
Christian; and

That this affidavit was executed for the purpose of attesting to
the truth of the foregoing facts and for whatever legal purpose it
may serve.
Affiant further sayeth naught.
IN WITNESS WHEREOF, I have hereunto set my hand this
__________________ at the Philippine Embassy, Abu Dhabi, United Arab
Emirates.
________________________
Affiant
Embassy of the Republic of the Philippines
Consular Section
Abu Dhabi, United Arab Emirates
SUBSCRIBED AND SWORN to before me this ________________,
affiant exhibiting his/her Passport No. _____________________ issued on
_____________________ in _________________________________.
Service No. _________
Doc. No. ___________
O. R. No. __________
Book No. __________
Fee Paid ___________