AFFIDAVIT OF APPEARANCE

I, _______________________________, of legal age, married/single and a __________ citizen, after having been sworn in accordance with law, do hereby depose and state that:

1. I am presently residing at ________________________________________________ and have been in the United States since ________________________________.

2. In compliance with the requirement of the:

___________________________________________________________________

(Name of Office or Agency in the Philippines)

3. I have executed this AFFIDAVIT to attest the fact that I indeed live at the above address, and

4. I have attached herewith a photocopy of each of my identification document/s for further reference.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this _________ day of ______________, 20 ______ in _______________________.

_______________________________

Affiant

Witnesses:

___________________________ ___________________________