REPUBLIC OF THE PHILIPPINES )

_____________________________) S.S.
_____________________________)
X------------------------X

AFFIDAVIT AND DECLARATION OF SUPPORT

We, _________, all of legal ages, Filipinos, and residents of

______________________, after having been duly sworn in accordance with law, hereby depose
and state:

1. That we, ___________, a civil engineer who is presently working as an

independent building contractor in my own business, _________--with business address at -
__________ and ____________ , __________a licensed dietician working at
__________________located at__________________, hereby solemnly affirm that we are willing
to sponsor our brother-in-law/ brother,respectively;

3. That we certify that we able, willing, and do promise to provide -

_________________, a resident of_______________________________, with tuition,
accommodation, health/medical insurances, living expense, and all other
miscellaneous expenses necessary for his study and stay in New Zealand;

3. That as evidence of our financial resources, our bank statements and employer’s payroll
summary is attached herewith;

4. As such, we execute this Affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, we have set our hands this ____________, at

__________________.

____________________ ________________________
Affiant Affiant

Signed in the presence of:

_____________________________-- _______________
Witness Witness

SUBSCRIBED AND SWORN to before me, this ______________, by above- named affiants
personally appeared with their Competent Evidence of Identity (CEI) in accordance with the 2004
Rules on Notarial Practice:
Competent Evidence of
Name Date/Place Issued
Identification

I HEREBY CERTIFY THAT THEY UNDERSTOOD THE CONTENTS OF THIS AFFIDAVIT AND THAT
THE SAME IS TRUE AND CORRECT ACCORDING TO THEIR OWN KNOWLEDGE AND BASED ON
AUTHENTIC RECORDS.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2017.