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Affidavit of Guardianship: GRADE LEVEL & SECTION: - ADVISER

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GRADE LEVEL & SECTION:________________________

ADVISER:__________________________

Republic of the Philippines)


City of Pasig ) Sc.

AFFIDAVIT OF GUARDIANSHIP

I, ___________________________ of legal age, and a resident of


____________________________________, after having been sworn in accordance
with law, hereby depose and state that:

1. I am the guardian in fact of the minor __________________________


_________________, born on ______________________ and currently enrolled and
studying at __________________________________________;

2. Said minor is under my care and custody; I am responsible for


providing the minor’s supervision, well-being and basic needs; as such, I take
responsibility for the accounts of said minor and undertake to pay any of his
debts by reason of this Affidavit;

3. I am not an imbecile, vagrant or vicious person, a habitual drunkard


or a criminal; I have not abandoned, neglected, nor refused to support said minor
or have them commit any offense against the duly constituted laws of the
Republic of the Philippines;

4. I am competent to receive on behalf of said minor the


“Tablet” device provided by the Local Government Unit of Pasig City to be
used solely for distance learning and such other related activities that the school
may require the minor to do using such “gadget”;

5. I undertake to ensure the safekeeping, care, upkeep and expected


maintenance of the “Tablet” device with due diligence; moreover, I take full
responsibility for its loss, intentional damage, and unlawful use other than the
minor to whom it was assigned; the minor is ensured access to the device for the
purpose of which it was issued;

6. This affidavit is executed for the purpose of assuming responsibility


for the “Tablet” device and in compliance with the requirements of the City
Government for its turn over to the minor.

IN WITNESS WHEREOF, I have hereunto affixed my signature.

___________________________
Affiant

SUBSCRIBED AND SWORN to before me on _____________________ at


Pasig City, affiant having exhibited to me his/her competent evidence of identity
being his __________________________ with No. _______________________.

Notary Public
Until December 31, 2020
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2020.

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