REPUBLIC OF THE PHILIPPINES)

CITY OF _________ . . . . . . . ) S.S

x---------------------------------- x)

AFFIDAVIT OF DISCLOSURE OF NO PENDING CIVIL OR CRIMINAL CASE

I, RIA ELOISE S. REGINO, of legal age, single, Filipino, and a resident of Unit 631 Pasig Royale Mansion, 20 Evangelista
St., Santolan, Pasig City, after having been duly sworn to an oath in accordance with law hereby depose and state:

1) That I am currently employed as the Sole Proprietor of FATCAT PHOTOGRAPHY STUDIO;

2) That I have no pending case, criminal or civil, before any judicial authorities or agency in the government;
3) That I am neither an advocate nor a mentor of any unlawful or subversive organization that advocated the
overthrow of the government or agency in the government;
4) That I was never accused of any offense or crime involving moral turpitude, neither one of the same nature
or a pending case of anti-graft law (RA 3019) against my person is pending before any prosecution office
and judicial authorities elsewhere in the Philippines;
5) That I am executing this affidavit to attest to the truth of all the foregoing declarations and for whatever
legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set any hand this ___ day of _________, ____, in the __________________,
Philippines.

______________________________
RIA ELOISE S. REGINO
Affiant

Affiant SUBSCRIBED AND SWORN to before me this ___________________ day of _________ in

_____________________. Affiant exhibited to me his/her Passport No. _________ issued on _________________
at ____________, _____________________.

Doc No. _____________

Page No. _____________
Book No. _____________
Series No. _____________