AFFIDAVIT OF DENIAL - Sample

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AFFIDAVIT OF DENIAL

I, __________________________, of legal age, married, Filipino


and with residence and postal address at ______________________,
after having been duly sworn to in accordance with law, hereby depose
and state:

1. That when I filed an application for clearance at the National


Bureau of Investigation I was advised that the said office could
not issue the required clearance in view of the appearance of
name similar to my name in NBI Files involving the following
cases:

2. That the said person who is the accused in the above-mentioned


cases is not the same person as the affiant who carries the name
of ________________________;

3. That I have never been charged of any offense and or violation


of existing laws here in the Philippines;

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 criminal records;

5. In view of the foregoing, I am requesting NBI Office to issue


the appropriate NBI clearance in my favor for compliance with
the certain requirements.

IN WITNESS WHEREOF, I have hereunto set my hand this


_______________ at _________________.

_______________________
Affiant

SUBSCRIBED AND SWORN to before me this


_______________________ at ___________________.

__________________________

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