REPUBLIC OF THE PHILIPPINES)

CITY OF ZAMBOANGA. . . . . . . . .)
X. . . . . . . . . . . . . . . . . . . . . . . . . . X

AFFIDAVIT FOR OUT OF LATE REGISTRATION OF BIRTH

I, Norman D. Sardenia, of legal age, married, Filipino and a resident of 6th

Street, Upper Calarian, Zamboanga City, after having been duly sworn to an oath in
accordance with law, do hereby depose and say:

1. That I am the Father of Norman James P. Sardenia.

2. That I/ he/ she was born on July 23, 2007 at Upper Calarian Health Center
Zamboanga City.
The delivery being administered by a MIDWIFE .
3. That my/his/her birth was not registered with the Local Civil Registrar
Zamboanga City
due to my work assignment from Manila to Zamboanga City.

4. That this affidavit is being executed to attest to the facts surrounding my/ the
birth of and to support the late registration thereof.

IN WITNESS WHEREOF, I have hereto set my hand this 27th day of October
2015 at Zamboanga City, Philippines.

Norman D. Sardenia
Affiant

ATTESTATION

We SGT Estephen D Ronda PAF and PO2 Geno Delejero PN of

legal age, Filipino citizens and resident of Camp Navarro, Upper Calarian,
Zamboanga City respectively, under oath, do hereby confirm the following statement
of the above-named affiant to be true and correct. We further state that we personally
know the affiant and the person subject to the application for delayed registration of
birth.

SGT Estephen D Ronda PAF PO2 Geno Delejero PN

Affiant Affiant

SUBSCRIBED AND SWORN to before me this 27th day of October 2015 at the City of
Zamboanga City, Philippines, affiant personally exhibited to me his CTC bearing
issued on at .

Doc No. ATTY. BENSAUDI A YAHIYA

Page No. Notary Public
Book No. Commissioned Until December 31, 2016
Series of 2015 IBP O. R. # 897237 dated January 8, 2015
PTR O.R. # 0992295 dated January 12, 2015
Roll No. 49906; May 2, 2005
MCLE Compliance no. V-0002100 dtd May 13, 2014
At Zamboanga City
REPUBLIC OF THE PHILIPPINES)
CITY OF ZAMBOANGA. . . . . . . . .)
X. . . . . . . . . . . . . . . . . . . . . . . . . . X

AFFIDAVIT FOR OUT OF TOWN REGISTRATION OF BIRTH

I, JOSEPINA PAULINO FABON, of legal age, widowed, Filipino and a resident

of Tumaga Interior, Zamboanga City, after having been duly sworn to an oath in
accordance with law, do hereby depose and say:

1. That I am the mother of ENDRY JOSEPH P. FABON .

2. That I/ he/ she was born on April 15, 1974 at Bongao, Tawi-Tawi .
The delivery being administered by a Midwife .
3. That my/his/her birth was not registered with the Local Civil Registrar
Bongao, Tawi-Tawi
due to transfer of residence here in Zamboanga City

4. That this affidavit is being executed to attest to the facts surrounding my/ the
birth of ENDRY JOSEPH P FABON
and to support the late registration thereof.

IN WITNESS WHEREOF, I have hereto set my hand this 9th day of February
2011 at Zamboanga City, Philippines.

JOSEPINA PAULINO FABON

Affiant

ATTESTATION

We and
of legal age, Filipino citizens and resident of
and respectively, under oath,
do hereby confirm the following statement of the above-named affiant to be true and
correct. We further state that we personally know the affiant and the person subject to
the application for delayed registration of birth.

Affiant Affiant

SUBSCRIBED AND SWORN to before me this 9th day of February 2011 at the City of
Zamboanga City, Philippines, affiant personally exhibited to me his CTC bearing
issued on at .
REPUBLIC OF THE PHILIPPINES)
CITY OF ZAMBOANGA. . . . . . . . .)
X. . . . . . . . . . . . . . . . . . . . . . . . . . X

AFFIDAVIT FOR OUT OF TOWN REGISTRATION OF BIRTH

I, HADIJA S. ASAMUDDIN, of legal age, married, Filipino and a resident of Rio

Hondo, Zamboanga City, after having been duly sworn to an oath in accordance with
law, do hereby depose and say:

1. That I am the of .
2. That I/ he/ she was born on July 18, 1973 at Rio Hondo,
Zamboanga City .
The delivery being administered by a .
3. That my/his/her birth was not registered with the Local Civil Registrar
Rio Hondo, Zamboanga City

due to

4. That this affidavit is being executed to attest to the facts surrounding my/ the
birth of
and to support the late registration thereof.

IN WITNESS WHEREOF, I have hereto set my hand this 16th day of April
2011 at Zamboanga City, Philippines.

HADIJA S. ASAMUDDIN
Affiant

ATTESTATION

We Cpl Mohamd L Lumenda PA and Pfc Thogan D Dagam PA

of legal age, Filipino citizens and resident of Camp Navarro, Upper Calarian,
Zamboanga City and
respectively, under oath, do hereby confirm the following statement of the above-named
affiant to be true and correct. We further state that we personally know the affiant and
the person subject to the application for delayed registration of birth.

Cpl Mohamd L Lumenda PA Pfc Thogan D Dagam PA

Affiant Affiant

SUBSCRIBED AND SWORN to before me this 16TH day of April 2014 at the City of
Zamboanga City, Philippines, affiant personally exhibited to me his CTC bearing
issued on at .