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Sworn Statement - Sample

This sworn statement details the affiant's work history as a staff nurse in Saudi Arabia for several years, their decision not to renew their contract, being issued an exit visa, leaving Saudi Arabia on a specific date, and signing this statement to attest to the truthfulness of the details provided for legal purposes.

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Pen Panasilan
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23K views2 pages

Sworn Statement - Sample

This sworn statement details the affiant's work history as a staff nurse in Saudi Arabia for several years, their decision not to renew their contract, being issued an exit visa, leaving Saudi Arabia on a specific date, and signing this statement to attest to the truthfulness of the details provided for legal purposes.

Uploaded by

Pen Panasilan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines )

__________________________ ) S.S.
x--------------------------------x

SWORN STATEMENT
I, ________________________, of legal age, Filipino, single and a resident of
__________________________ Philippines, after being duly sworn to in accordance
with law, do hereby depose and say THAT:
1. I worked as a Staff Nurse in a contract renewed annually in
_______________, Kingdom of Saudi Arabia from ______________;
2. After _____ years of working, I decided to not renew my fourth contract
which had ended on _____________;
3. Upon confirmed booking with Qatar Airways flight to Philippines via
Qatar on _________________, I was issued Exit Visa number
___________________;
4. On _______________, I left __________________, Kingdom of Saudi
Arabia; and
5. I am executing this Sworn Statement to attest to the truthfulness of
the foregoing facts and for whatever legal purposes this may serve
best.

IN WITNESS WHEREOF, I have


_____________, in Davao City, Philippines.

hereunto

set

my

hand

this

_____________________
Affiant
SUBSCRIBED AND SWORN to before me this _________________, at Davao
City, Philippines. Affiant exhibited to me her valid identification card, and
declared to me that this affidavit is his free and voluntary act and deed.
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2016.

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