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Affidavit of Authenticity

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Republic of the Philippines

Municipality of Agusan del Norte


Butuan City

AFFIDAVIT OF AUTHENTICITY

I, MARJORIE ACOYMO, of legal age, Filipino, married and a


resident Purok 13-B Papaya, Brgy. San Vicente, Butuan City, Agusan del
Norte, Philippines, after having been duly sworn to in accordance with law
hereby depose and state:

1. That incompliance for Certificate of Authority for a Notarial Act


(CANA) and Department of Foreign Affairs (DFA), I have
submitted my Experience Certificate as a Staff Nurse, issued by
the Aster Sanad Hospital;

2. That I am attesting the genuineness and authenticity of the


above-mentioned Experience Certificate;

3. That I hold myself liable for perjury, falsehood, misrepresentation


or omission or any act of dishonesty for any fraudulent, false,
and tempered document that I have submitted;

4. That I am executing this Affidavit to attest to the truthfulness of


the foregoing statements and for any other legal purpose/s it
may serve.

IN WITNESS HEREOF, I have hereunto signed my name below this


th
16 day of March, 2023 at Butuan City, Philippines.

MARJORIE ACOYMO
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this 16th day of


March, 2023 at Butuan City, Philippines.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 2023.

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