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Affidavit of Denial For NBI Clearance

1. The affiant is filing an affidavit of denial for an NBI clearance as his name is similar to someone in NBI files involved in a criminal case. 2. He denies being the person charged in Criminal Case No.______ before the __________________________ for the crime of __________. 3. The affiant is executing this affidavit to deny any derogatory, civil, or criminal records under his name and is requesting the NBI issue him a clearance.

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Liza Sanpedro
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2K views1 page

Affidavit of Denial For NBI Clearance

1. The affiant is filing an affidavit of denial for an NBI clearance as his name is similar to someone in NBI files involved in a criminal case. 2. He denies being the person charged in Criminal Case No.______ before the __________________________ for the crime of __________. 3. The affiant is executing this affidavit to deny any derogatory, civil, or criminal records under his name and is requesting the NBI issue him a clearance.

Uploaded by

Liza Sanpedro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

Province of___Bulacan_________) S.S.


Municipality of Angat ___________)
x---------------------------------------x

AFFIDAVIT OF DENIAL for NBI CLEARANCE

I, Filipino, of legal age, , and a resident of after


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

1. That the NBI Main Office in Taft Ave., Manila has advised me that said Office could not
issue the required clearance in view of the appearance of name similar to my name in
NBI files involving in case/s filed against said person bearing names similar to mine;

2. That I am not the same person as on who was charged under I.S. No.________ /
Criminal Case No.______ before the __________________________ for the crime of
__________;
3. That said case having been dismissed/settled already, or ( If admitted ).

4. That I am executing this affidavit to attest to the foregoing facts and to deny
categorically and specifically under oath that I am not the same person mentioned in the
docket/files of NBI with the said derogatory/civil/criminal record/s;

In view of the foregoing, I am requesting NBI Main Office in Taft Avenue, Manila to issue the
appropriate NBI clearance in my favor.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of _September


2018___ at Angat Bulacan, Philippines.

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for Province of Bulacan this
. Affiant personally came and appeared with Voters I.D. No.1231 issued by the COMELEC bearing his
photograph and signature, known to me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the contents of said
instrument.

ATTY. ANGEL R CRUZ, JR..


Notary Public For Province of Bulacan
Doc. No.______ Commission Serial No. PNC-35-MB-3018
Page No._____ Until December 31, 2019/ Roll No. 27083
Book No._____ Office: 0473 Sto. Cristo Angat Bulacan
Series of 2018 IBP No. 032629/ PTR No. 9569133
MCLE 6th Compliance No.0004671

[12CD]

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