Affidavit of Denial: Cite Case Nos. and Designation of The Case
Affidavit of Denial: Cite Case Nos. and Designation of The Case
I, ________________________________________________, of legal age, Filipino, and presently residing at ____________________________________________________ ________________, Hong Kong SAR / Macao SAR, and after having been duly sworn to in accordance with law, do hereby depose and say: 1. 2. 3. 4. I was born on ________________________ in __________________________; I established my permanent residence in _______________________________ _____________________________________________________, Philippines; On _________________________, I applied for a Record Clearance from the National Bureau of Investigation through the Philippine Consulate General in Hong Kong SAR; I received an information from the National Bureau of Investigation on ________ _____________ that my namesake, a certain ____________________________ _________, has pending criminal case/s for _____________________________ (cite case nos. and designation of the case) pending before _____________________: I hereby unequivocally deny involvement in the aforementioned cases; I also declare under oath that I am not in any way involved in ay case proceeding as either plaintiff/complainant or defendant/accused in the Philippines and abroad, specifically with regard to the aforementioned case/s; I have been employed or residing in Hong Kong / Macao for ________ years to this date; ________________________________________________________________ ___________________________________ (cite other proof/s or reason/s to substantiate your claim that you are not involved in the aforementioned case/s, if any); and I am executing this Affidavit to attest to the foregoing facts and to deny absolutely and entirely any involvement in the case/s aforementioned and for all legal intents and purposes.
5. 6. 7. 8. 9.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ______day of ________________________ 20___ in Hong Kong SAR / Macao SAR.
_________________________ Affiant SUBSCRIBED AND SWORN to before me this _____ day of ______________ 20__ in Hong Kong SAR, affiant exhibiting to me his/her Philippine Passport/ Hong Kong/ Macao identity card no. ____________________ issued on ____________________ in Hong Kong SAR / Macao SAR.
Doc. No. Page No. Book No. Series of Svc. No. O.R. No. Fee Paid : : : : : : : HK$