Affidavit for Abroad Travel
I, Jack D Souza of legal age, married, and residing at (your address here) after having been sworn to in accordance with law, hereby, depose and say that:
1. I am the duly elected (Position and seat of position);
2. I have no criminal or administrative case filed or pending against me before any court, tribunal or body at this time;
3. If I knew a case has been filed or pending against me, I shall submit a clearance or a certification from said court, tribunal or administrative body that an authorization for me to travel abroad;
4. I am executing this affidavit to attest to the truthfulness to the above-mentioned statements and for my application for foreign travel per requirement of the DILG and for other legal purposes.
Affiant Further Sayeth Not.
Jack D Souza
Affiant
SUBSCRIBED AND SWORN to before me this (date) day of (Month and year) at (Town), (Province), affiant entrusted to me his Community Tax Certificate no._________ issued on ______________ at_____________.