Sunteți pe pagina 1din 3

REPUBLIC OF THE PHILIPPINES )

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

AFFIDAVIT

I, CHARMAINE G. ISIDRO, Filipino, of legal age, single


and a resident of Venus Street, Tisa Hills Village, Tisa,
Cebu City, after having been sworn to in accordance with
law hereby depose and state that:
1. That I am a Physical Therapy student of Velez College
with school address at F. Ramos Street, Cebu City, and
currently in my fourth year as a student of said
institution;
2. That I was enrolled in Research Methodology 1 (RM 1) in
the previous semester with classes during Tuesdays at
01:00PM- 04:00PM, under the advisory of Ms. Lariza
Fernando;
3. That I was marked a failing grade because of my
supposed absence on the 25th of November, 2014;
4. That I was in fact present on the said date;
5. That on the said date, I had some documents
photocopied before attending class and even came in
time for said class;
6. That I was present during the presentation of my
classmates (group mates) report;
7. That I am executing this affidavit to attest to the truth
of the foregoing facts and to request for a
reconsideration
of
my
final
grade
in
the
abovementioned course.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby affix my signature this


___ day of April, 2015 in Cebu City, Philippines.

_________________________
Affiant

SIGNED IN THE PRESENCE OF


Name
___________________
___________________
___________________
___________________
___________________
___________________
___________________

School ID No.
_______________
_______________
_______________
_______________
_______________
_______________
_______________

Signature
_______________
_______________
_______________
_______________
_______________
_______________
_______________

SUBSCRIBED AND SWORN TO before me this ___ day of


April, 2015 in Cebu City, Philippines, affiant exhibiting to me
her competent evidence of identity by way of her school
identification card (ID) No. 1074403 issued at Velez College,
Cebu City.

NOTARY PUBLIC

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 20___.

S-ar putea să vă placă și