Republic of the Philippines)

City of Zamboanga )s.s.

X---------------------------------X
AFFIDAVIT OF MECHANIC
I, NASIR OTTOH MUSA, single/married, of legal age, Filipino citizen, and a resident of
Sibuco, Zamboanga del Norte now here at Zamboanga City, Philippines, after having been duly
sworn to in accordance with law, hereby depose and say that;
1. I am an automotive mechanic;
2. That my client NORBI BEDERI EDDING JR., of legal age, married, Filipino and a resident
of Maestra Ext., Sta. Maria, Zamboanga City,

That said Norbi Bederi Edding Jr., is the owner of certain motor-vehicle, which is more particularly
described as follows;
Make ------------------------------------------- ISUZU
--
Motor No. ------------------------------------- 4HK1696532
--
Type -------------------------------------------- DROPSIDE
-
Chasis No. ------------------------------------ PARN1R75LNJ20092
-
Series ----------------------------------------- NQ475
--
Plate No.
to change the denomination of the above-described motor vehicle DROPSIDE to
DROPSIDE WITH PIPE RAILING, which I made by the order of my client Norbu Bederi
Edding Jr.,;
3. I make these statements under oath and in good faith in order to establish the fact that I
change the denomination of those above-described from DROPSIDE TO DROPSIDE
WITH PIPE RAILING;
4. I execute this Affidavit voluntarily to attest to the truth of the foregoing facts based on
personal knowledge and authentic records and in compliance with the requirement of the
Land Transportation Office for whatever purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand on this ___ day of October 01, 2019
in the City of Zamboanga, Philippines.

NASIR OTTOH MUSA

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of October 2019 Zamboanga City,
Philippines, Affiant exhibited to me his __________________ ID bearing number
________________________/_____________/________________

Doc. No. ___

Page No. ___
Book No. ___
Series of 2019