Verification - Revised
Verification - Revised
2. I have read and understood its contents which are true and
correct of my own personal knowledge and/or based on authentic
records;
___________________
Affiant
Gov’t issued I.D. No.: ___________
SUBSCRIBED AND SWORN TO BEFORE ME, for and in the City of Bacolod,
this ___________, Affiant who is personally known to me and to me known to be
the same person, personally appeared to me and signed the foregoing as noted
above.