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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF LEYTE )
MUNICIPALITY OF VILLABA ) S.S.
x-------------------------------------------x

AFFIDAVIT
I, LANI BEBLYN S. ARNADO, of legal age, Filipino, single and a resident of Brgy.
BugaBuga, Villaba, Leyte, Philippines, after having been duly sworn to in accordance with
law, do hereby depose and state:

1. That I am a licensed Professional Teacher with PRC Registration No.


_____________________________________;

2. That I am included in the Registry of Qualified Applicants (RQA) 2016-2017,


pursuant to Department of Education (DepEd) Order No. 22 and that according to
the Department of Education Division Office of Tacloban City, the points I earned
in RQA 2016-2017 DepEd Order No. 22, will be retained at my option.

3. That it was my option to be retained in RQA 2016-2017, DepEd Order No. 22 in


order to be qualified in RQA 2017-2018, DepEd Order No. 22. However, by reason
of lack of available information and/or notice, I was not able to confirm the points
I earned in RQA 2016-2017 DepEd Order No. 22 to be qualified in the new ranking,
RQA 2017-2018 DepEd Order No. 22;

4. That I am a local and the only teacher applicant in BugaBuga Elementary School,
Brgy. BugaBuga, Villaba, Leyte, Philippines;

5. That the real property used by BugaBuga Elementary School as school site was
donated by my great grandfather, SULPICIO ORBISO;

6. That I have been trying to apply as teacher of BugaBuga Elementary School for
four (4) years now;

5. I am willingly and voluntarily executing this Affidavit to attest to the truth of the
foregoing facts, to support my request to be included and/or retained in RQA
2016-2017 DepEd Order No. 22, to be included and qualified in RQA 2017-2018
DepEd Order No. 22, and for any and whatever legal purpose that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of January, 2018
in Villaba, Leyte, Philippines.

LANI BEBLYN S. ARNADO


Affiant

SUBSCRIBED AND SWORN to before me, this 17th day of January, 2018 in Villaba,
Leyte, Philippines, by Affiant who is personally known to me and who exhibited to me her PRC
ID No. issued on ______________________ at
__________________________, Philippines.

Doc. No. 396;


Page No. 81;
Book No. V;
Series of 2018.