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AFFIDAVIT OF NON-RECEIPT
I, MA. LOURDES E. SOLIS, of legal age, Filipino, single and a resident of Block 3, Lot 4,
HB Homes Subdivision Duramos Drive, Barangay Pasananca, Zamboanga City, after having been
sworn to in accordance with law, hereby depose and state:
2 That I started paying the membership fee and was not issued an Identification
Card by the same company;
3 That when I seek for foreign employment sometime in 2014, I failed to settle my
annual contribution due to thereto;
4 That I execute this Affidavit freely and voluntarily to attest to the truthfulness of
the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this
________________________________ at Zamboanga City, Philippines.