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Affidavit of Denial

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REPUBLIC OF THE PHILIPPINES)

CITY OF ) S.S.
x --------------------------------------- x

AFFIDAVIT OF DENIAL

I, ROSELA ACSE, of legal age, Filipino, and a resident, Silay City, Negros
Occidentall, Philippines, after having been duly sworn to in accordance with law
hereby depose and say:

1. That I am a Master Teacher I at Doña Montserrat Lopez Memorial


High School, Silay City, Negros Occidental.

2. That on June 30, 2016 at 8:40 in the morning, I filed my application


for leave to travel abroad for twenty (20) days thru the endorsement of my
principal Mr. Wilfredo O. Hermosura.

3. That I have already submitted all the requirements for the said
application for leave and lately the Schools’ Division Superintendent, Dr. Neri
Anne M. Alibuyog thru Administrative Officer V, Jowey C. Alimon, in a letter
dated July 21, 2016, required me a final requisite which is for me to submit this
affidavit of denial.

4. That in compliance to the said requirement I hereby state that as of


this writing I have not received any complaint whether criminal or administrative
against me from Office of the Ombudsman or other investigating body.

5. That if and when I receive such complaint I hereby undertake to


inform the Department of Education of such complaint and I further undertake
to personally face any and all complaints against me in the matter and the
procedure prescribed by law and that i will come back to the country as soon as
my leave has been fully served.

6. That I am executing this affidavit to attest to the truth of the


foregoing facts.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


day of 2016, in the City of ,
Philippines.

ROSELA ACSE
Affiant

SUBSCRIBED AND SWORN TO before me this ____ day of 2016


in the City of , Philippines, affiant exhibited to me her I.D
issued by , Bacolod City,
Negros Occidental, bearing her photograph and signature.

WITNESS MY HAND AND SEAL on the date and place above-written.

Doc No. ;
Page No. ;
Book No. ;
Series of 2016.

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