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  • Affidavit of Medical Certificate

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    Don Sala
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    affidavit of medical certificate

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    701 views1 page

    Affidavit of Medical Certificate

    Uploaded by

    Don Sala
    aff

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines)

    Province of Southern Leyte) s.s.


    Municipality of S O G O D)
    x- - - - - - - - - - - - - - - - - - -x

    AFFIDAVIT

    I, VICTOR A. FERROLINO JR., of legal age, single, Filipino and resident of Brgy.
    Bongbong, San Francisco, Southern Leyte, after having been duly sworn to an oath in
    accordance with law, hereby depose and say:

    1. That I am applying for the position of Clerk of Court II at San Francisco Municipal
    Trial Court, San Francisco, Southern Leyte;

    2. That one of the requirements of the said application is a latest Medical Certificate
    and Laboratory Results. However pending for the submission of the above
    requirements, I am declaring that I am physically fit to work for this position and
    willing to submit myself for such medical examination, if appointment permits;

    3. That I executed this affidavit freely and voluntarily in order to attest the truth
    and veracity of the foregoing, for the purpose of my application for employment
    and for whatever legal intents and purposes this may serve.

    IN WITNESS WHEREOF, I have hereunto set our hands this 7 th day of October 2017 in the
    Municipality of Sogod, Southern Leyte, Philippines.

    VICTOR A. FERROLINO JR
    Affiant
    Driver’s License: K03-12-000543

    SUBSCRIBED AND SWORN to before me this 7th day of October 2017at Sogod, Southern
    Leyte, Philippines.

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