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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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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:
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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.
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;
5. We know that he was not immediately registered with the Office of City
Civil Registrar, Butuan City, due to financial constraints;
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.
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.
x------------------------------------x
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Republic of the Philippines )
Series of 2017
Butuan City…………………) SS.
x------------------------------------x
3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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;
3. We know that the child’s birth was assisted/ attended by Serafia Optana,
Hilot of Purok 2 Camote, Brgy. Maon, Butuan City;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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
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;
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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:
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
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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:
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 201
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
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.;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2017
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
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.
Doc. №:________________;
Page №:________________;
Republic of the Philippines )B
Book №:________________;
Butuan City…………………) SS.
Series of 2018.
x------------------------------------x
3. We know that the child’s birth was assisted/ attended by Dr. Dorothy Joy
P. Macuno, Medical Officer III of the said Hospital;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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:
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Republic
Series of 2018. of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
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;
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
Republic of the Philippines )
Butuan City…………………) SS.
x------------------------------------x
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
WE, LUZ TABADA SANCHEZ and JENEFFER A. GOYO both of legal age,
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.
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.
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2018.