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Affidavit for Anti-Graft and Corrupt Practices


Republic of the Philippines )
_____________________ ) SS.
x- - - - - - - - - - - - - - - - - - - - - x


AFFIDAVIT FOR ANTI-GRAFT AND CORRUPT PRACTICES (RA 3019)



I, _______________________________, of legal age, Filipino, single/married/widow/widower and a resident of ___________________________ after having been duly sworn to in accordance with law, hereby voluntarily depose and say:

1. That I am currently/formerly employed as ________________________________ in the Commission on Audit.

2. That I am retiring/ under RA 1616/PD 1146/RA 8291 to take effect/effective on _______________________. 

3.   That there is no administrative or criminal investigation against me for any offense, defined or penalized under RA 3019, otherwise known as the Anti-Graft and Corrupt Practices Act, as amended, and under the provisions of the Revised Penal Code on Bribery; and

4. That I am executing this affidavit to attest to the truth of the foregoing facts or assertation in compliance with COA Memorandum No. 451 dated March 6, 1973.

IN WITNESS WHEREOF, I have set my hand and affixed my signature this _________ day of ______________, 20 ______  at _______________________.



_______________________________
Affiant


SUBSCRIBED AND SWORN TO BEFORE ME this _______ day of _________ ___________, 20 ______, affiant exhibited to me his Government Issued ID __________No.______________ issued at __________________ on ___________________.


Doc. No. _____
Page No. _____
Book No. _____
Series of 2016.



NOTARY PUBLIC


Source: coa.gov.ph

Affidavit COA Forms

Sample Billing Error Dispute Letter


[Date]
[Name of Creditor]
[Address]

Dear Sir or Madam:

I am writing to dispute a billing error in the amount of [______] on my account. The amount is inaccurate because [describe the problem]. I am requesting that the error be corrected, that any finance and other charges related to the disputed amount be credited as well, and that I receive an accurate statement.

Enclosed are copies of [use this sentence to describe any information you are enclosing, like sales slips or payment records] supporting my position. Please investigate this matter and correct the billing error as soon as possible.

Sincerely,

[Your name]


Source: consumer.ftc.gov

billing error letter of dispute Letters

Affidavit of Reconciliation of Birth Data


Republic of the Philippines )
Province of ________________ ) SS.
City/Municipality of _______ ) 
x- - - - - - - - - - - - - - - - - - - - - x


AFFIDAVIT OF RECONCILIATION OF BIRTH DATA



I, _______________________________, of legal age, single, Filipino citizen, and with residence at ___________________________ after having been sworn in accordance with law, do hereby depose and state that:

1. I was born to Spouses _______ and _________ of Calbayog City on May 10, 1976;

2. In the birth certificate which I obtained only recently, my family name is spelled as "________________" instead of "_________________" to which I have I have been used to as in my school records, SSS, BIR and other public documents. A copy of said birth certificate which indicated my family name as "_______________" is hereto attached for reference;

3.   The names _________________ and ___________________ belong to one and the same person, the undersigned herein;

4. That I am executing this affidavit in order to attest to the truth of foregoing circumstances and for the purpose of setting the records straight and declaring that ____________________ and _________________________ refer to one and the same person.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this _________ day of ______________, 20 ______  in _______________________.



_______________________________
Affiant


SUBSCRIBED AND SWORN TO before me this _____ day of _________ at ________________ affiant exhibited to his/her competent evidence of identity by way of _________________ issued on __________________ in _______________, Philippines.


Doc. No. _____
Page No. _____
Book No. _____
Series of 2016.


NOTARY PUBLIC
Affidavit

Landbank Credit Card Cardholder Complaint and Dispute Form


Writing a letter to dispute a credit card billing error is the best way to protect your rights whenever billing errors, like unauthorized charges, charges for goods or services you didn’t receive, charges for the wrong amount, math errors on your credit card statement, or payments or credits that didn’t post to your account. Send the dispute letter within the time frame set by the banks.

Below is a pro-forma Landbank Credit Card Cardholder Complaint and Dispute Form that you can use for credit card billing disputes with the said bank. Be sure to customize it with your personal information, including your credit card account number. Keep a copy of the letter with the original receipts or other proof supporting your dispute.

To download, click the pop-out icon. After the link is opened, click the download icon.




Dispute Form Financial Forms

PNB Credit Card Dispute Form


Writing a letter to dispute a credit card billing error is the best way to protect your rights whenever billing errors, like unauthorized charges, charges for goods or services you didn’t receive, charges for the wrong amount, math errors on your credit card statement, or payments or credits that didn’t post to your account. Send the dispute letter within the time frame set by the banks.

Below is a pro-forma PNB Credit Card Dispute Form that you can use for credit card billing disputes with the said bank. Be sure to customize it with your personal information, including your credit card account number. Keep a copy of the letter with the original receipts or other proof supporting your dispute.

To download, hover your mouse over the document and click the download icon.




Dispute Form Financial Forms

Landbank Transaction Dispute Form (VisaNet Transactions)


Writing a letter to dispute a credit card billing error is the best way to protect your rights whenever billing errors, like unauthorized charges, charges for goods or services you didn’t receive, charges for the wrong amount, math errors on your credit card statement, or payments or credits that didn’t post to your account. Send the dispute letter within the time frame set by the banks.

Below is a pro-forma Landbank Transaction Dispute Form (Exclusive for VisaNet Transactions only) that you can use for credit card billing disputes with the said bank. Be sure to customize it with your personal information, including your credit card account number. Keep a copy of the letter with the original receipts or other proof supporting your dispute.

To download, click the pop-out icon. After the link is opened, click the download icon.




Dispute Form Financial Forms

Metrobank Card Corporation Cardholder Dispute Form


Writing a letter to dispute a credit card billing error is the best way to protect your rights whenever billing errors, like unauthorized charges, charges for goods or services you didn’t receive, charges for the wrong amount, math errors on your credit card statement, or payments or credits that didn’t post to your account. Send the dispute letter within the time frame set by the banks. 

Below is a pro-forma Metrobank Card Corporation Cardholder Dispute Form that you can use for credit card billing disputes with the said bank. Be sure to customize it with your personal information, including your credit card account number. Keep a copy of the letter with the original receipts or other proof supporting your dispute. To download, hover your mouse over the document and click the download icon. 




Dispute Form Financial Forms

 

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