DepEd Senior High School Voucher Program Affidavit of Family’s Financial Capacity

Administrative Background and Preamble of the Document

  • Jurisdiction and Venue: The document is established within the Republic of the Philippines and requires a specific location for the statement of venue (S.S.).
  • Document Title: AFFIDAVIT OF FAMILY’S FINANCIAL CAPACITY.
  • Purpose of the Affidavit: This legal instrument is executed to support declarations made in the application for the Department of Education (DepEd) Senior High School Voucher Program (SHS VP).
  • Affiant Identification and Status:
    • Name: The affiant is the Student Applicant.
    • Learner’s Reference Number (LRN): A unique identifier for the student must be provided.
    • Nationality: Filipino.
    • Legal Standing: The applicant must indicate if they are a minor represented by a parent or guardian, or if they are of legal age.
    • Residence: The full address of the student applicant is required.

Section I: Information Regarding the Student Applicant's Father

  • Identity: Requirement for the Full Name of the father.
  • Civil Status Classification: The affiant must select one of the following options:
    • Single/Solo Parent
    • Married
    • Married, separated
    • Widower
    • Annulled
    • Common-law / Live-in Partner
    • Unknown whereabouts
  • Source of Income Categories:
    • Employment: Choice between Local or Overseas. If employed, the Name of Employer must be explicitly stated.
    • Informal Employment: Includes roles such as tricycle driver, jeepney driver, pedicab driver, manicurist, barber, etc. The specific occupation must be detailed.
    • Micro/Small Business: Includes operations like a Sari-sari store, direct selling, etc. The specific nature of the business must be detailed.
    • None: If there is no source of income.
  • Verification of Income: The Gross Monthly Income must be reported.
  • Validation: A space is provided for the father's signature.

Section II: Information Regarding the Student Applicant's Mother

  • Identity: Requirement for the Full Name of the mother.
  • Civil Status Classification: The affiant must select one of the following options:
    • Single/Solo Parent
    • Married
    • Married, separated
    • Widower
    • Annulled
    • Common-law / Live-in Partner
    • Unknown whereabouts
  • Source of Income Categories:
    • Employment: Choice between Local or Overseas. Requires the specific Name of Employer.
    • Informal Employment: Requires specification of the job (e.g., driver, manicurist, barber).
    • Micro/Small Business: Requires specification of the business type (e.g., sari-sari store, direct selling).
    • None: Selection if the mother has no income source.
  • Verification of Income: The Gross Monthly Income must be reported.
  • Validation: A space is provided for the mother's signature.

Section III: Information Regarding the Student Applicant’s Guardian

  • Identity: Requirement for the Full Name of the guardian.
  • Civil Status Classification: The affiant must select one of the following options:
    • Single/Solo Parent
    • Married
    • Married, separated
    • Widower
    • Annulled
    • Common-law / Live-in Partner
    • Unknown whereabouts
  • Source of Income Categories:
    • Employment: Choice between Local or Overseas. Requires the specific Name of Employer.
    • Informal Employment: Requires specification of the occupation.
    • Micro/Small Business: Requires specification of the business activity.
    • None: Selection if the guardian has no income.
  • Verification of Income: The Gross Monthly Income must be reported.
  • Validation: A space is provided for the guardian's signature.

Section IV: Additional Financial Support

  • Applicability: This section is intended for persons other than the parents or guardian who provide additional financial support for the student applicant’s education. It is to be left blank if not applicable.
  • Supporter Identity: Full Name of the contributor.
  • Relationship to Applicant: The contributor must be identified as one of the following:
    • Relative
    • Family Friend
    • Benefactor/Sponsor
  • Financial Contribution: The amount of financial help provided on a Monthly basis.

Legal Attestation, Penalties, and Program Governance

  • Declaration of Truthfulness: The affiant confirms that they are making the affidavit to attest to the truth of all facts and statements provided.
  • Consequences of Falsehood:
    • The affiant acknowledges that any willful, unlawful, and untruthful statement or falsehood regarding material matters in the affidavit or the Educational Service Contracting (ESC) and SHS VP application will result in consequences.
    • Violation of the Guidelines on Government Assistance and Subsidies (GAS) programs issued by DepEd will lead to the disqualification or exclusion of the program applicant.
    • The learner may be barred from other subsidy programs provided by DepEd.
    • The affiant and proper parties are subject to potential administrative and criminal remedies.

Execution and Notarization

  • Witness Statement: The affiant affixes their signature to testify to the document.
  • Date and Location of Signing: To be dated for a specific day in 2026 and located at a specific place in the Philippines.
  • Affiant Signature: Requires the signature over the printed name of the affiant.
  • Jurat/Notarial Certification:
    • "SUBSCRIBED AND SWORN to before me."
    • The notary must certify that they personally examined the affiant.
    • The notary certifies that the affiant voluntarily executed the affidavit and understood its contents.
  • Notarial Recordkeeping:
    • Doc. No.
    • Page No.
    • Book No.
    • Series of (Year).