Affidavit of No Pending Case
Affidavit of No Pending Case
Affidavit of No Pending Case
I, ABC, Filipino, of legal age, single, and a resident of 30th block 200 lot 555 Westwood
Subdivision Barangay Dungon C Mandurriao, Iloilo City, after having been duly sworn in
accordance with law, hereby depose and say that:
2. I have no pending case, criminal, civil or administrative, before any judicial authorities or
agency in the government;
3. Attaching here in my record as a proof for no pending case, criminal, civil or administrative,
before any judicial authorities or agency in the government, Annex “A” for my municipal
clearance; Annex “B” RTC Clearance; Annex “C” NBI Clearance; Annex “D” Police
Clearance; Annex “E” Mayor Clearance; and Annex “F” Barangay Clearance.
5. That said Identificatiom Card was not confiscated by the authorities or of philhealth by
reason of any violation of rules and regulations;
6. That I am executing this affidavit to attest to the truth of the foregoing facts and
circumstances, for the purpose to apply as a reservist Philippine Army and for whatever
legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 18th day of November
2023 at Manudurriao, Iloilo City, Philippines.
ABC
Affiant
PRC 12210
Issued by PRC
Valid until December 20,2023
SUBSCRIBED AND SWORN to before me, in Mandurriao, Iloilo City, Philippines this
18th day of November 2023. The affiant, whom I identified through competent evidence of
identity, stated below his name, personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of this affidavit.