REPUBLIC OF THE PHILIPPINES ) CITY OF DAVAO ) S.S. X----------------------------------------------------X AFFIDAVIT OF PARTIAL RETIREMENT I, __________, of legal age, and a resident of Davao City, Philippines, and in my capacity as duly authorized representative of __________, after having been duly sworn to in accordance with law, hereby deposes and say that: 1. That I am the Assistant Manager of __________, located at Agton Street, Toril, Davao City, with Business Permit No. __________ and Business ID __________; 2. That the __________business stopped its operation due to financial losses, hence I am applying for PARTIAL RETIREMENT 2022, effective November 7, 2022; 3. That, I do hereby submit and sign application of Partial Retirement for and behalf of the above-named business; IN WITNESS WHEREOF, I have hereunto set my hand this _________ in the City of Davao, Philippines. _________________________________ Affiant SUBSCRIBED AND SWORN to before me this __________ in the City of Davao, Philippines, affiant having exhibited to me his __________ issued on __________ at Davao City. Doc. No.: ___; Page No.: ___; Book No.: ___; Series of 2022.