Affidavit of Undertaking

I, _______________________________________________, of legal age, married/single

and a resident of __________________________________________________, do hereby
depose and say that

1. I am an employee of ________________________________________ having been

appointed/designated as ___________________________________.

2. I am in-charge of __________________________________________.

3. I am an employee of below minimum wage of Ormoc City which is 305.00

IN TRUTH WHEREOF, I have hereunto signed my name below this day of ________ at
_________________________________.

____________________________
Affiant