This document is a sworn statement form that public officials in the Philippines must submit declaring their assets, liabilities, net worth, business interests, and financial connections. The 3-page form requires the official to disclose details of real estate and personal property assets and liabilities. It also requires listing of any business interests, financial connections, and relatives within the fourth degree of consanguinity or affinity that work for the government. By signing, the official authorizes the Ombudsman to obtain supporting documentation from government agencies to verify the completeness and accuracy of the declaration.