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REPUBLIC OF THE PHILIPPINES
[Province/City/Municipality]) S.S.
AFFIDAVIT OF SERVICE
I, [Full Name], of legal age, [civil status], [nationality], and presently residing at [Complete Address], after having been duly sworn to in accordance with law, depose and state:
That I have been employed in [Company/Agency/Organization Name], located at [Company/Agency Address], and have rendered continuous and faithful service in the said organization;
That my employment/service record is as follows:
Position/Designation: [e.g., Clerk, Supervisor, Teacher, Officer, etc.]
Department/Division: [If applicable]
Period of Service: From [Start Date] to [End Date/Present]
Nature of Employment: [e.g., permanent, contractual, casual, job order, voluntary]
Total Years of Service: [Total number of years and months]
That during my tenure, I have performed my duties and responsibilities in accordance with my position and have not been subjected to any administrative or disciplinary action that would affect my service record;
That I am executing this Affidavit of Service to attest to the truthfulness of my service record for the purpose of [state purpose, e.g., retirement benefits, employment verification, government service requirements, promotion, loan application, scholarship, or any legal purpose]; and
That I certify the truthfulness of the foregoing statements and am willing to provide supporting documents if required.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of [month], [year], at [place of execution].
[Full Name]
Affiant
SUBSCRIBED AND SWORN TO before me in the City/Municipality of [location], this ___ day of [month], [year], by affiant who has satisfactorily proven his/her identity through [Government ID type and number], issued on [date] and expiring on [date], that he/she is the same person who personally signed before me the foregoing Affidavit of Loss and acknowledged that he/she executed the same.
NOTARY PUBLIC
Doc No. ____;
Page No.____;
Book No. ___;
Series of [YEAR].