Sunteți pe pagina 1din 2

Republic of the Philippines )

City of Davao…………………….)s.s.

AFFIDAVIT OF CHANGE OF ADDRESS


I, BATHULA DANIEL PRASAD, of legal age, an Indian National, single,
presently residing in to Room No. 136, DMEMS University and Park Suites, Jacinto
Street corner Juan Luna Street, Davao City, after having been sworn to in accordance
do hereby depose and state that:

1. I am a holder of an Alien Certificate of Registration (ACR) Card duly issued by


the Bureau of Immigration which reflects Room No. D8, Happy Home
Dormitory, Margarita Village, Bajada, Davao City as my place of residence;
2. However, I transferred my residence from Room No. D8, Happy Home
Dormitory, Margarita Village, Bajada, Davao City to Room No. 136, DMEMS
University and Park Suites, Jacinto Street corner Juan Luna Street, Davao City;
3. Presently, my new address is Room No. 136, DMEMS University and Park Suites,
Jacinto Street corner Juan Luna Street, Davao City;
4. I have been living in my new address since April 30, 2018 up to the present;
5. I am executing this Affidavit to attest to the truth of the foregoing and to
support my application for change of address and/or to update the residence
in my Alien Certificate of Registration (ACR) Card at the Bureau of Immigration

IN WITNESS WHEREOF, I have set my hand this 03 May 2018 in Davao City,
Philippines.

BATHULA DANIEL PRASAD

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this 03 May 2018 in Davao City,


Philippines, Affiant exhibiting to me his Davao Medical School Foundation School ID
bearing ID No. 2017MED0001292.

Doc. No.: 143


Page No.: 30
Book No. II
Series of 2018
Republic of the Philippines )
City of Davao . . . . . . . . . . .)s.s.
x--------------------------------x

AFFIDAVIT of CHANGE OF ADDRESS

I, ISMAIL RUHAIL MOHAMED, of legal age, an Indian national, single and presently
residing at House 22, Road 2, Doña Vicenta, Barangay 10-A, Davao City, after having
been sworn to in accordance with law, hereby depose and state that:

1. I am an applicant for Alien Card Registration specifically for correction of


address at the Bureau of Immigration Office, Davao City.

2. I am requesting the Bureau of Immigration Office to correct my complete


address form Room #B11 2/F DMEMS Dorm, Jacinto corner Juan Luna
Street, Davao City, Davao del Sur, 8000 to House 22, Road 2, Doña Vicenta,
Barangay 10-A, Davao City 8000, Davao del Sur, Philippines.

3. I have stayed in the present address since March 02, 2019 up to the present.

4. I am executing this affidavit to attest to the truth of the foregoing facts and to
inform the proper authorities concerned of the matter and for such other legal
purpose which it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this March 22, 2019 in the
City of Davao, Philippines

ISMAIL RUHAIL MOHAMED


Affiant

SUBSCRIBED AND SWORN to before me this March 22, 2019 in the City of Davao,
Philippines. Affiant exhibiting to me his Davao Medical School Foundation Student
ID bearing No. 2017MED0001090 as competent proof of identity.

Doc. No. 206


Page No. 43
Book No. I
Series of 2019

S-ar putea să vă placă și