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Republic of the Philippines )

Butuan City…………………) SS.


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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ROBERTO EGOT MONZALEZ, JR. and MARICEL GONZALES


HARANAY both of legal age, Filipinos, and a resident of P-5 Brgy. Maguinda, Butuan
City and 213 C.M. Recto St., Brgy. Limaha, Butuan City, respectively, after having been
duly sworn to in accordance with law do hereby depose and state that:

1. We personally know child named ANDREA YANGYANG MAXINO who


was born on December 13, 2014 at Butuan Medical Center, Butuan City to her
mother DIVINA ROSE YANGYANG MAXINO;

2. We know that the child was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Dr. MARY
GRACE U. CALDERON, attending physician of the said hospital;

4. We know that the said child was already immunized and was not baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of the
Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of birth of ANDREA YANGYANG MAXINO and to support the application
for delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 16 April 2019 at
Butuan City, Philippines.

ROBERTO EGOT MONZALES, JR. MARICEL GONZALES HARANAY


Affiant Affiant
Professional Driver’s License Voter’s Certification
License No. K01-15-002685 Voter’s ID No. 0202-0051C-H2083MGH20000-2
Issued by LTO, Butuan City Issued by COMELEC, Butuan City

SUBSCRIBED AND SWORN to before me this 16 April 2019 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
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Series of 2019.
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, SHIELA MARIE LAGUINDAM LAPEZ and ANGELA MAE ESPINA


ARRIOLA both of legal age, Filipinos, and are residents of both R. Calo Street, Brgy.
Obrero and Brgy. Villa Kananga all of Butuan City, Philippines, do hereby depose and
state that:

1. We personally know the child named ACEJHON CLIMACO who was born on
29 October 2013 at Butuan Maternity Birthing Clinic 100 Lopez Janea Ext. Butuan
City to his mother REGGY BARING CLIMACO;

2. We know that the child was born out of wedlock;

3. We know that she was attended/ assisted by Dr. Marilyn Castro Jumapao
attending physician of the said Hospital;

4. We know that she was already immunized but not yet baptized;

5. We know that he was not immediately registered with the Office of City
Civil Registrar, Butuan City, due to financial constraints;

6. His Birth Certificate is not registered with any Office of the


Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of the birth of ACEJHON CLIMACO and to support the application for delayed
registration of the same with the Office of the City Civil Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 15 February 2018
at Butuan City, Philippines.

SHIELA MARIE LAGUINDAM LAPEZ ANGELA MAE ESPINA ARRIOLA


Affiant Affiant
PhilHealth Identification Card PhilHealth Identification Card
No. 18-025274794-8 No. 18-250109286-0
Issued by PhilHealth, Butuan City Issued by PhilHealth, Butuan City

SUBSCRIBED AND SWORN to before me this 15 February 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, SHERYLL T. LAMBUYOG and ADORACION C. LAGARTO both of legal


age, Filipinos, and are residents of both Purok Saging, Brgy. Basag, Butuan City,
Philippines, do hereby depose and state that:

1. We personally know LOLITA PALER BAGATLO who was born on 10 October


1971 at Brgy. Basag, Butuan City to her parents ESTELITA EBARRA PALER and
ERNESTO AMPO BAGOTTO;

2. We know that HER parents validly married on 06 October 1957 at Butuan City
United of Christ solemnized by

3. We know that the child’s birth was assisted/ attended by Aida Evarola,
attending hilot a5u ;

4. We know that the child was already immunized and but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time and financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of DIOSDADO III LAHIMAO SOBREMONTE and to support
the application or delayed registration of the same with the Office of the City
Civil Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 25 July 2017 at
Butuan City, Philippines.
ZENAIDA H. RAMOS LEA PITOGO QUIBAN
Affiant Affiant
Senior Citizen Identification Card Taxpayer’s Identification Card
No. 25779 No. 470-223-068-000
Issued by OSCA,Butuan City Issued by BIR, Butuan City

SUBSCRIBED AND SWORN to before me 25 July 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, MARIAM B. HASSAN and ZORAYDA AMER LAGUINDAB both of legal


age, Filipinos, and are residents of both Purok 7, Brgy. Bading, all of Butuan City,
Philippines, do hereby depose and state that:

1. We personally know the child named ASNAR QUISTADIO PANDIIN who


was born on 14 August 2010 at Purok 7, Brgy. Bading, Butuan City to his
parents EBRAHIM MENDEZ PANDIIN and JOAN PEREZ QUISTADIO;

2. We know that the child’s was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ASNAR QUISTADIO PANDIIN and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 04 August 2017 at
Butuan City, Philippines.
MARIAM B. HASSAN ZORAYDA AMER LAGUINDAB
Affiant Affiant
4P’s Identification Card Voter’s Identification Card
No. 160202014-0121-00019 No. 0202-0117A-L0283ZAL20000
Issued by DSWD, Butuan City Issued by COMELEC, Butuan City

SUBSCRIBED AND SWORN to before me 04 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, LEONIDA LAYON CASTAÑARES and ADRIAN LAYON CASTAÑARES


both of legal age, Filipinos, and are residents of both Purok 5, Brgy. Tandang Sora, Butuan
City, Philippines, do hereby depose and state that:

1. We personally know the child named JIAN DAVE BONGAY GONZALES who
was born on 03 April 2011 at Purok 6A, 9th Street, Guingona, JP. Rizal, Butuan City
to his parents DIONESIA TAROY BONGAY and ALAN FAJARDO
GONZALES;

2. We know that the child’s parents validly married on 28 September 2018 at


Inahan sa Kanunay ng Panabang Chapel, 9th Street Guingona Subdivision, Butuan
City solemnized by Rev. Fr. Charles G. Patricio, Msc, Priest of the said Church;

3. We know that the child’s birth was assisted/ attended by Veronica Ochea,
Attending Hilot of Purok 6A, Brgy J.P.Rizal, Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JIAN DAVE BONGAY GONZALES and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 07 February 2018
at Butuan City, Philippines.
LEONIDA LAYON CASTAÑARES ADRIAN LAYON CASTAÑARES
Affiant Affiant
Voter’s Identification Card Taxpayer’s Identification Card
No. 0202-0046A-I2566LLC20000 No. 445-850-291-000
Issued by COMELEC, Butuan City Issued by BIR, Butuan City

SUBSCRIBED AND SWORN to before me 07 February 2018 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ABEGAIL TIOAQUEN MATURAN and JENNIFER AVENIDO SILVOSA


both of legal age, Filipinos, and are residents of both Brgy. Ambago and Brgy. Mahogany
all of Butuan City, Philippines, do hereby depose and state that:

1. We personally know the child named CARL GABRIEL GALIDO QUIMADO


who was born on 07 May 2017 at Butuan Medical Center, Km. 5, Brgy. Baan,
Butuan City to his parents EMMALYN PARAY GALIDO and LEONARD
ADOVAS QUIMADO;

2. We know that the child’s was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Dr. Dorothy Joy P.
Macuno, attending Physician of the said Hospita;

4. We know that the child was immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of CARL GABRIEL GALIDO QUIMADO and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 08 February 2018
at Butuan City, Philippines.
ABEGAIL TIOAQUEN MATURAN JENNIFER AVENIDO SILVOSA
Affiant Affiant
Taxpayer’s Identification Card Voter’s Identification Card
No. 710-833-479-000 No. 0202-0113A-1877JAS2000
Issued by BIR, Butuan City Issued by COMELEC, Butuan City

SUBSCRIBED AND SWORN to before me 08 February 2018 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, DONATO S. LAMBONAO and PERFECTO O. MOCA both of legal age,


Filipinos, and are residents of both Purok 3, Brgy. Port Poyohon, all of Butuan City,
Philippines, do hereby depose and state that:

1. We personally know the child named ALBERT ESARSA PAG-ONG who was
born on 25 May 1971 at East Mindanao, R. Calo Street, Butuan City to his
parents ARSENIA TOYOGON ESARSA and EPIFANIO MONTECALVO
PAG-ONG;

2. We know that his parents validly married on 22 April 2002 at San Vicente
Ferrer Chapel, Port Poyohon, Butuan City, solemnized by Rev. Fr. Gabriel B.
Avelino, Parish Priest of the said Church;

3. We know that his birth was assisted/ attended by Dr. Teresita Busico,
attending physician of the said Hospital;

4. We know that he was baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ALBERT ESARSA PAG-ONG and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 09 August 2017 at
Butuan City, Philippines.
DONATO S. LAMBONAO PERFECTO O. MOCA
Affiant Affiant
Senior Citizen Identification Card SSS Identification Card
No. 24464 No. 108-0440598-2
Issued by OSCA Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me 09 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, JENNIFER A. SILVOSA and WELMA MOLDE ENTONG both of legal age,
Filipinos, and are residents of both Purok 5A and Purok 6A, Brgy. Silad Mahogany,
Butuan City, Agusan del Norte, Philippines, do hereby depose and state that:

1. We personally know the child PRINCES APPLE JOY SAJOR GORDO who
was born on June 26, 2010 at Purok 3A Mahogany Butuan City to her parents
MARICEL DABLO SAJOR and SERGIO GULAY GORDO;

2. We know that the child’s was born out of wedlock;

3. We know that his birth was assisted/ attended by Lourdes B. Mao,


Attending Hilot of Purok 5B, Brgy. Baan Riveside, Butuan City;

4. We know that the child was already immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time and financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of PRINCES APPLE JOY SAJOR GORDO and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 17 August 2017 at
Butuan City, Philippines.
JENNIFER A. SILVOSA WELMA MOLDE ENTONG
Affiant Affiant
Employee’s Identification Card PhilHealth Identification Card
No. 02-211 No. 18-200705248-1
Issued by the City Government of Butuan Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me 17 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ROSEJANE ATEGA ARRIOLA and JHEAN CENIZA FLOREZ both of legal
age, Filipinos, and are residents of both PUROK 5 AMBAGO, Butuan City, Agusan del
Norte, Philippines, do hereby depose and state that:

1. We personally know the child SHELIT RECAÑA who was born on 11


November 2013 at Butuan City to her parent SHERYLL FLORES RECAÑA;

2. We know that the child’s was born out of wedlock;

3. We know that his birth was assisted/ attended by DOCTOR MAURINE C.


TAN;

4. We know that the child was already immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time and financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of SHELIT RECAÑA and to support the application or
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 17 August 2017 at
Butuan City, Philippines.
ROSEJANE ATEGA ARRIOLA JHEAN CENIZA FLOREZ
Affiant Affiant
SSS Identification Card BIR Identification Card
No. 08-1078663-7 No. 700-282-548-000
Issued by the SSS,Butuan City Issued by BIR, Butuan City

SUBSCRIBED AND SWORN to before me 17 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ELIZABETH F. MALBAS and FREDDIE M. SULLANO both of legal age,


Filipinos, and a resident of Purok 3, Brgy. Amparo and Purok 6A, Brgy. Mahogany,
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named CALLEB JOHN POTESTAS APARTE who


was born on 09 May 2017 at Mothers Health First Birthing Home, Butuan City
to his parents EVELYN SUROY-SUROY POTESTAS and OLIVER BURIAS
APARTE

2. We know that the said child ‘s parents was validly married on 24 May 1998 at
Christ the King Church at Tungao, Butuan City solemnized by Rev. Fr. Avelino
N. Balatucan of the said Church;

4. We know that the child’s birth was assisted/ attended by Dr. Geraldine
Malbas, attending physician of the said Clinic;

5. We know that the said child was already immunized but not yet baptized;

6. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constrainst;

7. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

8. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of CALLEB JOHN POTESTAS APARTE and to support the
application for delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 29 June 2017 at
Butuan City, Philippines.

ELIZABETH F. MALBAS FREDDIE M. SULLANO


Affiant Affiant
E,ployee’s Identification Card Employee’s Identification Card
No. 02-019-1 No. 127
Issued by the City Government Issued by by the City Government of
of Butuan Butuan
SUBSCRIBED AND SWORN to before me this 29 June 2017 at Butuan City,
Philippines. Affiants exhibited their identification cards as stated below their respective
na
Republic of the Philippines )
Butuan City…………………) SS.
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Page №:________________;
Book №:________________;
Series of 2017.
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, CYNTHIA MAESTRADO CULLANTES and NIDA V. FERNANDEZ, both


of legal age, Filipinos, and are residents of both Brgy. Doonganand Village II , Brgy.
Libertad, all of Butuan City, Philippines, do hereby depose and state that:

1. We personally know CAPISTRANO FURIA CUBILLAS JR. who was born on


27 September 1948 at Baan, Butuan City, to his parents CAPISTRANO MONTE
AGODO CUBILLAS SR. and NATIVIDAD ATO FURIA;

2. We know that his parents are married but he doesn’t know when and where it
was because they’re already dead;

3. We know that he is already old and cannot remember the one who
attended/assisted his birth and because his parents are already dead;

4. We know that he was immunized and baptized;

5. We know that he was not immediately registered with the Office of City
Civil Registrar, Butuan City, due to financial constraints;

6. His Birth Certificate is not registered with any Office of the


Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of the birth of CAPISTRANO FURIA CUBILLAS JR. and to support the
application for delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 6th of July 2017
at Butuan City, Philippines.

CYNTHIA MAESTRADO CULLANTES NIDA V. FERNANDEZ


Affiant Affiant
UMID Identification Card Employee’s Identification Card
No. CRN-006-0175-6416-6 No. 1032-10
Issued by SSS, Butuan City Issued by the City Government of Butuan

SUBSCRIBED AND SWORN to before me this 06th July 2017 at Butuan City,
Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, ZENAIDA H. RAMOS and LEA PITOGO QUIBAN both of legal age,
Filipinos, and are residents of both Purok 2, Brgy. Upper Doongan and Purok 10, Brgy.
San Mateo, Butuan City, Philippines, do hereby depose and state that:

1. We personally know the child name DIOSDADO III LAHIMAO


SOBREMONTE who was born on 17 June 2013 at Purok 27, Brgy. Tungao,
Butuan City, Agusan del Norte to his parents ROMALYN JASPE LAHINAO
and DIOSDADO HIMO SOBREMONTE JR.;

2. We know that the child’s parents validly married on 20 August 2007 at San
Roque Catholic Chapel, Kauswagan, San Mateo, Butuan City, solemnized by
Rev. Fr. Almado Ecarma, Roman Catholic Priest;

3. We know that the child’s birth was assisted/ attended by Melinda L.


Lahinao, Hilot of Brgy. Tungao, Butuan City;

4. We know that the child was already immunized and but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time and financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of DIOSDADO III LAHIMAO SOBREMONTE and to support
the application or delayed registration of the same with the Office of the City
Civil Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 25 July 2017 at
Butuan City, Philippines.
ZENAIDA H. RAMOS LEA PITOGO QUIBAN
Affiant Affiant
Senior Citizen Identification Card Taxpayer’s Identification Card
No. 25779 No. 470-223-068-000
Issued by OSCA,Butuan City Issued by BIR, Butuan City

SUBSCRIBED AND SWORN to before me 25 July 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Republic of the Philippines )
Series of 2017
Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, MARIAM B. HASSAN and ZORAYDA AMER LAGUINDAB both of legal
age, Filipinos, and are residents of both Purok 7, Brgy. Bading, all of Butuan City,
Philippines, do hereby depose and state that:

1. We personally know the child named ASNAR QUISTADIO PANDIIN who


was born on 14 August 2010 at Purok 7, Brgy. Bading, Butuan City to his
parents EBRAHIM MENDEZ PANDIIN and JOAN PEREZ QUISTADIO;

2. We know that the child’s was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ASNAR QUISTADIO PANDIIN and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 04 August 2017 at
Butuan City, Philippines.
MARIAM B. HASSAN ZORAYDA AMER LAGUINDAB
Affiant Affiant
4P’s Identification Card Voter’s Identification Card
No. 160202014-0121-00019 No. 0202-0117A-L0283ZAL20000
Issued by DSWD, Butuan City Issued by COMELEC, Butuan City

SUBSCRIBED AND SWORN to before me 04 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, MARIAM B. HASSAN and ZORAYDA AMER LAGUINDAB both of legal
age, Filipinos, and are residents of both Purok 7, Brgy. Bading, all of Butuan City,
Philippines, do hereby depose and state that:

1. We personally know the child named JOHAIRA QUISTADIO PANDIIN


who was born on 23 November 2007 at Purok 7, Brgy. Bading, Butuan City to his
parents EBRAHIM MENDEZ PANDIIN and JOAN PEREZ QUISTADIO;

2. We know that the child’s was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JOHAIRA QUISTADIO PANDIIN and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 04 August 2017 at
Butuan City, Philippines.
MARIAM B. HASSAN ZORAYDA AMER LAGUINDAB
Affiant Affiant
4P’s Identification Card Voter’s Identification Card
No. 160202014-0121-00019 No. 0202-0117A-L0283ZAL20000
Issued by DSWD, Butuan City Issued by COMELEC, Butuan City

SUBSCRIBED AND SWORN to before me 04 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, MARIAM B. HASSAN and ZORAYDA AMER LAGUINDAB both of legal


age, Filipinos, and are residents of both Purok 7, Brgy. Bading, all of Butuan City,
Philippines, do hereby depose and state that:

1. We personally know the child named ALI QUISTADIO PANDIIN who was
born on 23 November 2007 at Purok 7, Brgy. Bading, Butuan City to his
parents EBRAHIM MENDEZ PANDIIN and JOAN PEREZ QUISTADIO;

2. We know that the child’s was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ALI QUISTADIO PANDIIN and to support the application
or delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 04 August 2017 at
Butuan City, Philippines.
MARIAM B. HASSAN ZORAYDA AMER LAGUINDAB
Affiant Affiant
4P’s Identification Card Voter’s Identification Card
No. 160202014-0121-00019 No. 0202-0117A-L0283ZAL20000
Issued by DSWD, Butuan City Issued by COMELEC, Butuan City

SUBSCRIBED AND SWORN to before me 04 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, DONATO S. LAMBONAO and PERFECTO O. MOCA both of legal age,
Filipinos, and are residents of both Purok 3, Brgy. Port Poyohon, all of Butuan City,
Philippines, do hereby depose and state that:

1. We personally know the child named ALBERT ESARSA PAG-ONG who was
born on 25 May 1971 at East Mindanao, R. Calo Street, Butuan City to his
parents ARSENIA TOYOGON ESARSA and EPIFANIO MONTECALVO
PAG-ONG;

2. We know that his parents validly married on 22 April 2002 at San Vicente
Ferrer Chapel, Port Poyohon, Butuan City, solemnized by Rev. Fr. Gabriel B.
Avelino, Parish Priest of the said Church;

3. We know that his birth was assisted/ attended by Dr. Teresita Busico,
attending physician of the said Hospital;

4. We know that he was baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ALBERT ESARSA PAG-ONG and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 09 August 2017 at
Butuan City, Philippines.
DONATO S. LAMBONAO PERFECTO O. MOCA
Affiant Affiant
Senior Citizen Identification Card SSS Identification Card
No. 24464 No. 108-0440598-2
Issued by OSCA Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me 09 August 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, JENNIFER A. SILVOSA and WELMA MOLDE ENTONG both of legal age,
Filipinos, and are residents of both Purok 5A and Purok 6A, Brgy. Silad Mahogany,
Butuan City, Agusan del Norte, Philippines, do hereby depose and state that:

1. We personally know the child PRINCES APPLE JOY SAJOR GORDO who
was born on June 26, 2010 at Purok 3A Mahogany Butuan City to her parents
MARICEL DABLO SAJOR and SERGIO GULAY GORDO;

2. We know that the child’s was born out of wedlock;

3. We know that his birth was assisted/ attended by Dra. Natividad


Nazareno, Butuan City;

4. We know that the child was not immunized but already baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to financial constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ROWENA DESPI VILLARIN and to support the application
or delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 17 August 2017 at
Butuan City, Philippines.
EXALTACION B. CREDO TERESITA B. DELA TORRE
Affiant Affiant
Senior Citizen Identification Card Senior Citizen Identification Card
No. 15288 No. 2873
Issued by the OSCA, Butuan Issued by OSCA, Butuan City

SUBSCRIBED AND SWORN to before me 8 Septembert 2017 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, ODILIO L. SITOY and LIGAYA B. SAVELLION both of legal age, Filipinos,
and are residents of Blk.-10 Lot-6 Emenville, Butuan City and Banza,Butuan City, do
hereby depose and state that:

1. We personally know the child named CARLOS EMMANUEL PEREZ


RAMOS who was born on 14 February 2017 at Butuan Doctors Hospital,Butuan
City to his parents MARY JANE ROSELLO PEREZ and NESTOR JR.
CORBITA RAMOS;

2. We know that the child is born out of wedlock;

3. We know that his birth was assisted/ attended by Dra. January M. Jayoma
attending physician of Butuan Doctors Hospital;

4. We know that the child was already immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to absence of the father;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of CARLOS EMMANUEL PEREZ RAMOS and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 07 September 2017
at Butuan City, Philippines.
ODILIO L. SITOY LIGAYA B. SAVELLION
Affiant Affiant
Employee’s Identification Card Employee’s Identification Card
No. 095-27 No. 4411-37
Issued by the City Government of Butuan Issued by the City Government of Butuan
City City

SUBSCRIBED AND SWORN to before me 07 September 2017 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, ALBERTO VALDEZ CALOOY and FRANCISCA T. ACAMPADO both of
legal age, Filipinos, and are both residents of Purok 8A, Barangay Ambago, Butuan City,
Agusan del Norte, Philippines, do hereby depose and state that:

1. We personally know AIDA J. CAÑETE who was born on 29 November 1952


at Cabcabon, Butuan City Agusan del Norte, to his parents FLORA CULINA
NOVO and EMELIO SAQUIREL JAOJAO;

2. We know that his parents validly married on 12 January 1976 at Dao,


Camahayan, Butuan City, solemnized by MSGR. Delfin M. Callao, Bishop of
Cabadbaran, Agusan del Norte;

3. We know that his birth was assisted/ attended by Elizabeth H. Atanog,


Attending Hilot of Purok 5, Brgy. Salvacion, Butuan City;

4. We know that the he was not immunized but already baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of AIDA J. CAÑETE and to support the application or
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 3 November 2017
at Butuan City, Philippines.
ALBERTO VALDEZ CALOOY FRANCISCA T. ACAMPADO Affiant
Affiant Taxpayer’s Identification Card
Driver’s License Identification Card No. 438-285-383-000
No.K01-04-000932 Issued by BIR, Butuan City
Issued by LTO, Butuan City
Valid until 2018-11-16

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------xp

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ROXAN DUMAS GUMANID and FLORDELIS G. ACAS both of legal age,
Filipinos, and are residents of Purok 5, Brgy. Bayanihan, Butuan City, do hereby depose
and state that:

1. We personally know the child named KEANA LYZZA BAJAO who was born
on 07 May 2007 at Butuan City Provincial Hospital, Butuan City to her mother
ANIELA BIANCA BEATO BAJAO;

2. We know that the child’s was born out of wedlock;

3. We know that his birth was assisted/ attended by Dr. Angel Antoinette L.
Devocion, Attending Physician of the said Hospital;

4. We know that the child was already immunized but not yet baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constrainst;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of KEANA LYZZA BAJAO and to support the application or
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 02 October 2017
at Butuan City, Philippines.
ROXAN DUMAS GUMANID FLORDELIS G. ACAS
Affiant Affiant
PhilHealth Identification Card Employee’s Identification Card
No.18-025245957-8 No. 0058
Issued by PhilHealth, Butuan City Issued by City Health Office, Obrero,
Butuan City

SUBSCRIBED AND SWORN to before me 02 October 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------xp

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, MARK KENNETH V. FIEL and ODILIO L. SITOY both of legal age,
Filipinos, and are both residents of Block 10, Lot 6 Ira Housing, Baan Km. 3, and 660 Brgy.
Burgos, Butuan City Agusan del Norte, Philippines, do hereby depose and state that:

1. We personally know child named HUDAIFA CABUGATAN


MANGINSARAT who was born on 12 June 2017 at Mommy Grace Birthing
Clinic, Purok 3, Brgy. Ambago, Butuan City to her parents JUHAIMAH
CAGATAN CABUGATAN and EMRAN GOMEZ MANGINSARAT;

2. We know that the child is born out of wedlock;

3. We know that his birth was assisted/ attended by Kristina Marie C.


Mendoza, Registered Midwife and Registered Nurse of the said Clinic;

4. We know that the child was immunized and baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of HUDAIFA CABUGATAN MANGINSARAT and to
support the application or delayed registration of the same with the Office of
the City Civil Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 06 October 2017
at Butuan City, Philippines.
MARK KENNETH V. FIEL ODILIO L. SITOY
Affiant Affiant
Employee’s Identification Card Employee’s Identification Card
No. 11239 No. 095-27
Issued by the City Government of Butuan Issued by the City Government of Butuan

SUBSCRIBED AND SWORN to before me 06 October 2017 at Butuan City, Philippines.


Affiants exhibited their identification cards as stated below their respective names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, MARY ANN ABRIOL ARQUISOLA and JULITO LABADOR both of legal
age, Filipinos, and are both residents of Purok 1, Brgy. Jaguimitan,Nasipit Agusan del
Norte, all of the Philippines, do hereby depose and state that:

1. We personally know child named JAYVE CENIZA FULGENCIO who was


born on 02 November 2016 at Tungao, Butuan City to his parents MANILYN
CENIZA FULGENCIO and JUNE PANAGUITON FULGENCIO;

2. We know that the child’s parents is validly married on 14 February 2013 at


Guingona Park, Butuan City, solemnized by Former City Mayor of Butuan Hon.
Ferdinand M. Amante, JR.M.D ;

3. We know that the child was assisted/ attended by Deborah Mae E. Lopena,
Attending Midwife of Tungao,Birthing Clinic;

4. We know that the child was immunized and not yet baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to Time and Financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JAYVE CENIZA FULGENCIO and to support the application
or delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 23 October 2017
at Butuan City, Philippines.

MARY ANN ABRIOL ARQUISOLA JULITO LABADOR


Affiant Affiant
Voter’s Identification Card SSS’s Identification Card
No. 0209-0034C-E1881MAA20000 No. 33-6880176-0
Issued by COMELEC, Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me 23 October 2017 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 201
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE,LHAZYL JEAN FRANCISCO EGUNA and JULIET MAKILING


MATURAN both of legal age, Filipinos, and are both residents of Purok 2, Brgy.
Dumalagan,Butuan City, all of the Philippines, do hereby depose and state that:

1. We personally know child named RHIAN JAY BAÑES TAGUD who was
born on 08 April 2014 at R and J Maternity Clinic, Butuan City, Butuan City to his
parents JERRY MAE BAÑES and RODRIGO TAGUD JR.;

2. We know that the child is born out of wedlock;

3. We know that the child was assisted/ attended by Josephine L. Gallardo,


Attending Midwife of R and J Maternity Clinic,Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to Time and Financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of RHIAN JAY BAÑES TAGUD and to support the application
or delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 23 October 2017
at Butuan City, Philippines.

LHAZYL JEAN FRANCISCO EGUNA JULIET MAKILING MATURAN


Affiant Affiant
Philhealth’s Identification Card Philhealth’s Identification Card
No. 18-2500055739-8 No. 18-025188484-4
Issued by PHILHEALTH, Butuan City Issued by PHILHEALTH, Butuan City

SUBSCRIBED AND SWORN to before me 23 October 2017 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE,GINALYN CHUA MICAYABAS and MELANIE MONTILLANO APAS


both of legal age, Filipinos, and are both residents of Blk.20 Lot 17 Ideal Homes,Brgy.
Libertad and Purok 1,Brgy. Pianing,Butuan City, all of the Philippines, do hereby depose
and state that:

1. We personally know child named ETHAN LEO BAKISKISAN ARUELO


who was born on 02 September 2017 at BMC Hospital,Butuan City to his
parents HANNA B. ARUELO and LEONID D. ARUELO;

2. We know that the child’s parents is validly married on 20 December 2009 at


United Pentecosal Church,Ampayon,Butuan City,solemnized by Rev.Ricardo
V. Casimiro;

3. We know that the child was assisted/ attended by Dra. Mohayni Sah-Nah
La Madali-Salacop, Attending Physician of BMC Hospital,Butuan City;

4. We know that the child was not yet immunized and baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to Time and Financial
constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ETHAN LEO BAKISKISAN ARUELO and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 24 October 2017
at Butuan City, Philippines.

GINALYN CHUA MICAYABAS MELANIE MONTILLANO APAS


Affiant Affiant
Voter’s Identification Card PRC’s Identification Card
No. 0202-0279C-I1890GCM20000 No. 1467800
Issued by COMELEC,Butuan City Issued by City PRC, Butuan City

SUBSCRIBED AND SWORN to before me 24 October 2017 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, MARILYN CALO BURDEOS and MARLOWE RIVERA LICAYAN both of


legal age, Filipinos, and are both residents of Purok 2, Brgy. Mahay, Butuan City , all of
the Philippines, do hereby depose and state that:

1. We personally know ROY NELSON TAMBONG BOMBIO who was born on


18 June 1973 at Mahay, Butuan City to his parents GLORIA
ESCORPIONTAMBONG and NELSON PANGADLIN BOMBIO;

2. We know that his parents was validly married on 15 April 15 1978 at Saint
Joseph Cathedral, Butuan City solemnized by Rev. Fr. Alfonso Meyers, Catholic
Priest of the said Church;

3. We know that the child was assisted/ attended by Anecita L. Maylon,


Traditional Hilot of Brgy. Mahay, Butuan City;

4. We know that the child was immunized and baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of ROY NELSON TAMBONG BOMBIO and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 20 November 2017
at Butuan City, Philippines.

MARILYN CALO BURDEOS MARLOWE RIVERA LICAYAN


Affiant Affiant
Voter’s Identification Card SSS Identification Card
No. 0202-0312A-A1161MCB20000 No. 08-2126489-2
Issued by COMELEC, Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me 20 November 2017 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, RESTITUTA RODEMIO BAYETA and ANGELYN P. ARAOARAO both


of legal age, Filipinos, and are both residents of Purok Orchids II, and Purok 12 Cigla,
Brgy. Pagatpatan all of Butuan City of the Philippines, do hereby depose and state that:

1. We personally know the named CLARENCE ADLAON MARGALLO who


was born on 31 August 2014 at Pagatpatan Birthing Clinic, Butuan City to his
parents MARICEL GARCIA ADLAON and CERANDY GONZALES
MARGALLO;

2. We know that the child was born out of wedlock;

3. 3. We know that the child was assisted/ attended by Isabelita M. Ladao,


Midwife of Brgy. Holy Redeemer, Butuan City;

4. We know that the child was already immunized but not yet baptized;

5. We know that the his birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of CLARENCE ADLAON MARGALLO and to support the
application or delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 08 January 2018
at Butuan City, Philippines.

RESTITUTA RODEMIO BAYETA ANGELYN P. ARAOARAO


Affiant Affiant
Voter’s Identification Card Employee’s Identification Card
No. 0202-0327A-E0159RRB20001-2 No. cos-018
Issued by COMELEC, Butuan City Issued by the City Government of Butuan

SUBSCRIBED AND SWORN to before me 08 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, JOSELITO BARBERO MANULAT and EDISON CEDILLO BASAS both of


legal age, Filipinos, and a resident of Purok 1 Brgy. Bitan-agan and Purok 4, Brgy. Banza
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named SHEAN XYRIL YARO who was born on 11
August 2006 at Purok 23 Lamosig, Brgy. Tungao, Butuan City to her mother
ANA MARIE QUINTO YARO;

2. We know that the child was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Adilaida P.


Mugao, Attending Hilot of Purok 21, Lamosig San Mateo,Butuan City;

4. We know that the said child was immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of SHEAN XYRIL YARO and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 08 January 2018
at Butuan City, Philippines.

JOSELITO BARBERO MANULAT EDISON CEDILLO BASAS


Affiant Affiant
Taxpayer’s Identification Card SSS Identification Card
No. 460-929-690-000 No. 09-1988735-6
Issued by BIR, Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me this 08 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, JOSELITO BARBERO MANULAT and EDISON CEDILLO BASAS both of


legal age, Filipinos, and a resident of Purok 1 Brgy. Bitan-agan and Purok 4, Brgy. Banza
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named KHIM NOEL YARO who was born on 17
April 2006 at Purok 21 Lamosig, San Mateo, Butuan City to her mother
NAOMI QUINTO YARO;

2. We know that the child was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Adilaida P.


Mugao, Attending Hilot of Purok 21, Lamosig San Mateo,Butuan City;

4. We know that the said child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of KHIM NOEL YARO and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 08 January 2018
at Butuan City, Philippines.

JOSELITO BARBERO MANULAT EDISON CEDILLO BASAS


Affiant Affiant
Taxpayer’s Identification Card SSS Identification Card
No. 460-929-690-000 No. 09-1988735-6
Issued by BIR, Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me this 08 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, JOSELITO BARBERO MANULAT and EDISON CEDILLO BASAS both of


legal age, Filipinos, and a resident of Purok 1 Brgy. Bitan-agan and Purok 4, Brgy. Banza
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named JONIL YARO GULLE who was born on 17
December 2010 at Purok 21 Lamosig, San Mateo, Butuan City to her mother
NAOMI QUINTO YARO AND GODOFREDO, JR. BULAWIN GULLE;

2. We know that the child was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Adilaida P.


Mugao, Attending Hilot of Purok 21, Lamosig San Mateo,Butuan City;

4. We know that the said child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JONIL YARO GULLE and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 08 January 2018
at Butuan City, Philippines.

JOSELITO BARBERO MANULAT EDISON CEDILLO BASAS


Affiant Affiant
Taxpayer’s Identification Card SSS Identification Card
No. 460-929-690-000 No. 09-1988735-6
Issued by BIR, Butuan City Issued by SSS, Butuan City

SUBSCRIBED AND SWORN to before me this 08 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, GAVINO GONZALES BACOR and DANILO LACHICA CENO both of


legal age, Filipinos, and a resident of Brgy. Ampayon and Brgy. Golden Ribbon,
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named JUSTINE CUPIN ZABATE who was born
on 06 August 2017 at Provincial Hospital, Agusan del Norte, Butuan City to his
parents JUVY ARROZA CUPIN and RODELIO JAVA ZABATE;

2. We know that the child parents were validly married on 27 August 2002 at
Birhen sa Kasilak Mindnao Shrine Parish of Brgy. Bading, Butuan City
solemnized by Rev. Fr. Jose R. Sincero, Parochial Vicar of the said Church;

3. We know that the child’s birth was assisted/ attended by Dr. Benjamin Jr.
B. Selim, Medical Officer of the said Hospital;

4. We know that the said child was immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JUSTINE CUPIN ZABATE and to support the application
for delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 16 January 2018
at Butuan City, Philippines.

GAVINO GONZALES BACOR DANILO LACHICA CENO


Affiant Affiant
PhilHealth Identification Card HDMF Identification Card
No. 18-200240175-5 No. 1211-3221-4697
Issued by PhilHealth, Butuan City Issued by HDMF, Butuan City

SUBSCRIBED AND SWORN to before me this 16 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, RUEL CONCON CANATOY and MERLINDA JASPE LAHINAO both of


legal age, Filipinos, and a resident of Purok 27, San Roque, Brgy. Tungao, Butuan City,
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named MILES ACANA LOGRONIO who was


born on November 16, 2017 at Tungao, Birthing Clinic, Brgy. Tungao, Butuan
City to her parents JERALYN GALARIO ACANA and LUSINO GALARION
LOGRONIO;

2. We know that the child was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Lolita A.


Fiedacan, Midwife of the said Barangay;

4. We know that the said child was immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of MILES ACANA LOGRONIO and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 19 January 2018
at Butuan City, Philippines.

RUEL CONCON CANATOY MERLINDA JASPE LAHINAO


Affiant Affiant
Driver’s License Identification Card Taxpayer’s Identification Card
No. K01-14-001749 No. 470-367-501-000
Issued by LTO, Butuan City Issued by BIR, Butuan City
Valid until 2019-08-21

SUBSCRIBED AND SWORN to before me this 19 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Republic of the Philippines )B
Book №:________________;
Butuan City…………………) SS.
Series of 2018.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, TESSIE A. MORALES and MELOGIN MONDEJAR CASSION both of


legal age, Filipinos, and a resident of Purok 2B, Brgy. Bading and Purok 1, Brgy. Bobon,
respectively all of Butuan City, after having been duly sworn to in accordance with law
do hereby depose and state that:

1. We personally know child named CRISJI YPARRAGUIRRE JALDO who was


born on 23 February 2012 at Butuan Medical Center, Km.5 Brgy. Baan, Butuan
City to his parents CRESTINE GUITES YPARRAGUIRRE and JIZON POTOT
JALDO;

2. We know that the child was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Dr. Dorothy Joy
P. Macuno, Medical Officer III of the said Hospital;

4. We know that the said child was immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of CRISJI YPARRAGUIRRE JALDO and to support the
application for delayed registration of the same with the Office of the City
Civil Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 17 January 2018
at Butuan City, Philippines.

TESSIE A. MORALES MELOGIN MONDEJAR CASSION


Affiant Affiant
PWD Identification Card Taxpayer’s Identification Card
No. 16-8600-000-0136 No. 269-812-372-000
Issued by CSWD, Butuan City Issued by BIR, Butuan City

SUBSCRIBED AND SWORN to before me this 17 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, DEVINA PEREZ BOQUIL and MARIVIC ACERO BUSACO both of legal
age, Filipinos, and a resident of both Purok 7, Brgy. Obrero, Butuan City, after having
been duly sworn to in accordance with law do hereby depose and state that:

1. We personally know child named JHAN MARK S. GOMEZ who was born on
13 October 2017 at Butuan Medical Center, Km. 5, Brgy. Baan, Butuan City to
his parents JUVY SININING SALUDAR and VIGILOU SALADAGA GOMEZ;

2. We know that the child’s was born out of wedlock;

3. We know that the child’s birth was assisted/ attended by Dr.Mohayni Sah-
Nah La Madali-Salacop, Medical Officer of Butuan Medical Center, Butuan
City;

4. We know that the said child was already immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JHAN MARK S. GOMEZ and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 28 January 2018
at Butuan City, Philippines.

DEVINA PEREZ BOQUIL MARIVIC ACERO BUSACO


Affiant Affiant
Philhealth Identification Card Philhealth Identification Card
No. 18-025233700-6 No. 18-050143769-5
Issued by PhilHealth, Butuan City Issued by PhilHealth, Butuan City

SUBSCRIBED AND SWORN to before me this 28 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, JELYN LEYES VERTUDAZO and CORAZON L. BRENA both of legal age,
Filipinos, and a resident of both Purok 21, Brgy. San Mateo, respectively all of Butuan
City, after having been duly sworn to in accordance with law do hereby depose and state
that:

1. We personally know the child name JOEY QUINTO YARO who was born
on 04 April 2000 at Purok 23, Brgy. Lamoseg, Tungao, Butuan City to his
parents PURITA MUGAO YARO and PEDRO LAMPADIO YARO;

2. We know that the child’s parents validly married on 10 February 1980 at


Tungao, Roman Catholic Church solemnized by Rev. Fr. Enrique Kuizon, Parish
Priest of the said Chuch;

3. We know that he was assisted/attended during his birth by Merlinda


Lahinao, Brgy. Hilot of Purok 27, Brgy. Tungao, Butuan City;

4. We know that he was already baptized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JOEY QUINTO YARO and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 30 January 2018
at Butuan City, Philippines.

JELYN LEYES VERTUDAZO CORAZON L. BRENA


Affiant Affiant
Voter’s Certificate 4P’sIdentification Card
No. 0202-0336B-I1993JLV20000 No. 160202076-0128-00060
Issued by COMELEC, Butuan City Issued by DSWD, Butuan City

SUBSCRIBED AND SWORN to before me this 30 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, SOBASCO SATERA EGHOT and JOSHUA YARO SUMO both of legal age,
Filipinos, and a resident of both Purok 6 Maputi Banaybanay, Brgy. Maputi and Purok
23,Brgy.Lamosig, respectively all of Butuan City, after having been duly sworn to in
accordance with law do hereby depose and state that:

1. We personally know the child name JOLLYMAR PONCANDOS who was


born on 13 August 1991 at Purok 1 Gqalaxy, Brgy.Banza , Butuan City to his
parents MARINA DIAMOS PONCADOS and TEODORO REVILLA
DAPLINI;

2. We know that the child is born out of wdlock;

3. We know that he was assisted/attended during her birth by Maria Leonora


T. Cupay, Brgy. Hilot of Purok 1 Galaxy, Brgy. Banza, Butuan City;

4. We know that he was already immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth of JOLLYMAR PONCADAS and to support the application for
delayed registration of the same with the Office of the City Civil Registrar,
Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 30 January 2018
at Butuan City, Philippines.

SOBASCO SATERA EGHOT JOSHUA YARO SUMO


Affiant Affiant
Voter’s Certificate Voter’sIdentification Card
No. 0202-0383B-J2488JYS10000-0 No. 2502-0056A-I1883SSE10000
Issued by COMELEC, Butuan City Issued by DSWD, Butuan City

SUBSCRIBED AND SWORN to before me this 30 January 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Republic
Series of 2018. of the Philippines )
Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ARMANDO SALAZAR UBALDO and JESSIE B. MARTINEZ both of legal


age, Filipinos, and both resident of Purok 2A Brgy. Sro. Niño, respectively all of Butuan
City, after having been duly sworn to in accordance with law do hereby depose and state
that:

1. We personally know the child name DANILO OCHO PLISCO who was born
on 23 August 1960 at Baobaoan, Butuan City to his parents EMERENCIANA
BETANCOR OCHO and SIMEON DELOSO PLISCO;

2. We know that the child’s was born out of wedlock;

3. We know that the child was assisted/attended by Cornelia Supas,Hilot of


the said barangay;

4. We know that the child was not immunized but baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of birth of DANILO OCHO PLISCO and to support the application for delayed
registration of the same with the Office of the City Civil Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 14 February 2018
at Butuan City, Philippines.

ARMANDO SALAZAR UBALDO JESSIE B. MARTINEZ


Affiant Affiant
Senior’s Citizen Identification Card Senior’s Citizen’s Identification Card
No. 11-24-16 No8600-19066-A
Issued by OSCA, Butuan City Issued by OSCA, Butuan City

SUBSCRIBED AND SWORN to before me this 15 February 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, DARLIN APRIL DIAYON DELA PEÑA and JOSE ANTONIO (SEAN)
BOCATOT BAYOTAS both of legal age, Filipinos, and both a resident of Purok 5 Ube,
Brgy. Maon and Brgy. Baan Km. 3, respectively all of Butuan City, after having been duly
sworn to in accordance with law do hereby depose and state that:

1. We personally know the child named NEL VINCENT CAAYAMAN who was
born on 4 April 2013 at Sintos Subdivision Brgy. Villa Kananga, Butuan City to his
parents MARLYN CAAYAMAN and MARNEL MENDOZA BASAÑEZ;

2. We know that the child is born out of wedlock;

3. We know that the child was assisted/attended by Adelina Aquadam Bacoy,


Brgy. Hilot pf Purok 3, Sintos, Brgy. Villa Kananga, Butuan City;

4. We know that the child was already immunized and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of birth of NEL VINCENT CAAYAMAN and to support the application for
delayed registration of the same with the Office of the City Civil Registrar, Butuan
City.

IN WITNESS WHEREOF, we have hereunto set our hands this 21 February 2018
at Butuan City, Philippines.

DARLIN APRIL DIAYON DELA PEÑA JOSE ANTONIO (SEAN) BOCATOT


Affiant BAYOTAS
Police Clearance Affiant
File No. 195421 Philhealth’s Identification Card
Issued by PNP, Butuan City No.18-025134665-6
Issued by PhilHealth, Butuan City

SUBSCRIBED AND SWORN to before me this 21 February 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, LORMINA MAUSISA TOMINAMAN and GENIEN JOY E. ESPELITA both of


legal age, Filipinos, and both a resident of Purok 11 Brgy. 16 Ong Yiu and Brgy. Doongan,
Butuan City, after having been duly sworn to in accordance with law do hereby depose
and state that:

1. We personally know the child name MCKEE BALANGHIG GAMUTAN who


was born on Purok 2, Brgy. Doongan, Butuan City to his parents MARICAR
NOLASCO BALANGHIG and KENNETH EVALLE GAMUTAN;

2. We know that the child is born out of wedlock;

3. We know that the child was assisted/attended by Gloria S. Dasig, Midwife


of the said Barangay Doongan, Butuan City;

4. We know that the child was already immunize but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of birth of MCKEE BALANGHIG GAMUTAN and to support the application for
delayed registration of the same with the Office of the City Civil Registrar, Butuan
City.

IN WITNESS WHEREOF, we have hereunto set our hands this 22 February 2018
at Butuan City, Philippines.

LORMINA MAUSISA TOMINAMAN GENIEN JOY E. ESPELITA


Affiant Affiant
PhilHealth Identification Card PhilHealth Identification Card
No .18-025275849-4 No .18-025194646-7
Issued by PhilHealth, Butuan City Issued by PhilHealth, Butuan City

SUBSCRIBED AND SWORN to before me this 22 February 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, LUZ TABADA SANCHEZ and JENEFFER A. GOYO both of legal age,

1. We personally know ZANDRO DALE QUIJANO GALE who was born on 14


April 2013 at Purok-18 Brgy. Tungao,Butuan City to his parents ROWENA
BURIAS QUIJANO and ALEJANDRO OCAMAS GALE JR. ;

2. We know that the child is born out of wedlock;

3. We know that the child was assisted/attended by Esther Betonio,Barangay


Hilot;

4. We know that the child was not immunize and baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of birth of ZANDRO DALE QUIJANO GALE and to support the application for
delayed registration of the same with the Office of the City Civil Registrar, Butuan
City.

IN WITNESS WHEREOF, we have hereunto set our hands this 19 February 2018
at Butuan City, Philippines.

LUZ TABADA SANCHEZ JENEFFER A. GOYO


Affiant Affiant
UMID Identification Card Driver’s License Identification Card
No. 006-0068-16514-9 No K01-0671374
Issued by SSS, Butuan City Issued by LTO, Butuan City

SUBSCRIBED AND SWORN to before me this 19 February 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

Republic of the Philippines )


Butuan City…………………) SS.
x------------------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE VIRGILIO LORIA LIBOON and RODOLFO BARRIENTOS SUMANDURAN


both of legal age, Filipinos, and resident of Golden Sun Subdivision, Brgy. Villa Kananga
and Villanueva Extension, all of Butuan City, Agusan del Norte, after having been duly
sworn to in accordance with law do hereby depose and state that:

1. We personally know the child named BRIENT YUAN MACHETE


LOQUILLANO who was born on 28 July 2017 Agusan del Norte Provincial
Hospital to her parents SHEENA BACLAYON MACHETE and BERNIE ISNANI
LOQUILLANO;

2. We know that the child is born out of wedlock;

3. We know that the child was assisted/attended by Corazon S. Butcon,


attending physician of the said hospital;

4. We know that the child was already immunized but not yet baptized;

5. We know that the child’s birth was not immediately registered with the
Office of City Civil Registrar, Butuan City, due to time constraints;

6. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; And,

7. We are executing this Joint Affidavit to attest to the truth of the foregoing facts
of birth of BRIENT YUAN MACHETE LOQUILLANO and to support the
application for delayed registration of the same with the Office of the City Civil
Registrar, Butuan City.

IN WITNESS WHEREOF, we have hereunto set our hands this 21 March 2018 at
Butuan City, Philippines.

VIRGILIO LORIA LIBOON RODOLFO BARRIENTOS


Affiant SUMANDURAN
AFP Identification Card Affiant
No.R11-E-109652 Pag-Ibig Identification Card No. 615219
Issued by AFP, Butuan City Issued in Butuan City

SUBSCRIBED AND SWORN to before me this 21 March 2018 at Butuan City,


Philippines. Affiants exhibited their identification cards as stated below their respective
names.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.

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