FOR CERTIFIED PLANT MECHANIC

REPUBLIC OF THE PHILIPPINES ) ____________________________) S. S.

AFFIDAVIT OF COMPETENCY

I, _________________________________________of legal age, Filipino citizen, single/ married, resident of __________________________________ _________________________________and a registered Professional Mechanical Engineer by profession, after having been sworn to according to law , depose and state :

1. That I have known personally ________________________________ who is applying for the Certified Plant Mechanic examination;

2. That, I have observed him in his work and found him competent to

undertake the operation, tending and maintenance of mechanical works, plants or project of less than 200 horse power.

3. Further, affiant sayeth none.

WITNESS MY HAND THIS ______day of _______________, 20___ at __________________________________. ________________________________ AFFIANT

PME Cert. No. ___________________ Dated __________________________

Res. Cert No. ____________________ Issued at: _______________________

Issued on: ______________________ SUBSCRIBED AND SWORN to before me this ________ day of ____________, 20 ______ at _______________________, Affiant exhibited to me his residence certificate state above. ________________________________ ADMINISTERING OFFICER Doc. No. ______ Page No. ______ Book No. ______ Series of ______

Affix Documentary

Stamp