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Sworn Statement

This sworn statement from Kimberly E. Lopez, a Teacher I in the Division of Negros Occidental, certifies that she has actually earned the units listed in her accompanying transcript of records from the schools enrolled. She confirms the Bureau of Private Schools has received copies of this sworn statement and its closure, as required. The statement was sworn before a certifying authority on a specific date in 2023, where Lopez showed her residence certificate.

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206 views

Sworn Statement

This sworn statement from Kimberly E. Lopez, a Teacher I in the Division of Negros Occidental, certifies that she has actually earned the units listed in her accompanying transcript of records from the schools enrolled. She confirms the Bureau of Private Schools has received copies of this sworn statement and its closure, as required. The statement was sworn before a certifying authority on a specific date in 2023, where Lopez showed her residence certificate.

Uploaded by

Ble Pabuaya Gido
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION VI- WESTERN VISAYAS
DIVISION OF NEGROS OCCIDENTAL
Cottage Road, Bacolod City

SWORN STATEMENT

I hereby certify under oath that I have been actually enrolled in the schools
listed in the accompanying transcript of records and that have actually earned the
units therein. As required, the Bureau of Private Schools has been furnished with
authentic copies of the sworn statement and its closure.

KIMBERLY E. LOPEZ
Teacher I

SUBSCRIBED AND SWORN to before me this __________ day of ____________,


2023 at ____________________________________. Affiant exhibiting his/her Residence
Certificate No. _____________. Issued at __________________________ on
____________________, 2023.

___________________________________
(Signature of Person Administering Oath)

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