Republic of the Philippines)

Province of Lanao del Sur) S.S

Municipality of Wao )
****************

AFFIDAVIT RE: FACTS OF MARRIAGE

I, , 33 years of age, Filipino, married and a resident of Pob. 2, Banisilan, Cotabato, after having been
duly sworn to an oath depose and state:

1. That I am daughter of;

2. That was legally married having been solemnized in accordance with the rites and solemnities of the -
Iglesia ni Cristo at Kilikili, Wao, Lanao de Sur last December 30, 1983 by LEONARDO REYES;

2. That the fact of their Marriage was duly registered in the Local Civil Registry of Banisilan, North
Cotabato;

2. That I have a copy of their Marriage Certificate but the entries therein are no longer readable;

3. Thus, in lieu of the Marriage Contract of my parents, the following entries should have appeared in their
Marriage Certificate:

Husband Wife
Name of Contracting Parties
Date of Birth/Age
Place of Birth
Sex( Male/Female)
Citizenship
Residence
Religion
Civil Status
Name of father
Citizenship
Name of Mother
Citizenship

8. That I am executing this affidavit in good faith to attest the truthfulness of the foregoing statements for
POINT OF CARE AVAILMENT and for whatever legal purpose this may serve best.

AFFIANT FURTHER SAYS NOTHING.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23rd day of April 2018 at Wao, Lanao
del Sur, Philippines.

AFFIANT

SUBSCRIBE AND SWORN to before me this 23rd day of April 2018 at Wao, Lanao del Sur, Philippines.
Affiant having exhibited to me her PRC ID with Registration NO. valid until November 30, 2020.

ATTY.
Public Attorney I
(Pursuant to R.A. 9406)
 CO RR OB ORATION

We, ___________________________________and ____________________________________, both

of legal ages, Filipino, married and we era both resident of ______________________________________,
after having been duly sworn to an oath depose and say:

1. That we are personally known the couple _________________________and ______________________

and living together us husband and wife with the benefit of marriage;

2. That we corroborate his/ her above-statement with regard to their marriage and we hereby conformed
that all statements are true and correct and that we are not related to them either by infinity or
consanguinity and are not interested in any manner of his/her affairs;

3.That we are executing this affidavit in good faith to attest the truthfulness of forgoing statements in
support for the reconstruction and delayed registration of their marriage with the Office of the Municipal
Civil Registrar of Wao, Lanao del Sur and for whatever legal purposes this may serve best.

IN WITNESS WHEREOF, We have hereunto affixed our signatures.

_____________________________ ______________________________
Affiant Affiant

SUBSCRIBE AND SWORN to before me this ____________day of _____________________

at Wao, Lanao del Sur, Philippines.

_________________________________________
(Print Name & Signature of Administering Officer)