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1. We know the facts and circumstances surrounding the birth of the child
named KENT JAKE CONGRESO DAYAL who was born out of wedlock on
19 June 2010 at Butuan Medical Center, Butuan City, Agusan del Norte, to
his mother KAREN MIGULLAS CONGRESO and father ARNEL ATIS
DAYAL.
2. The said mother and father being of our personal acquaintance and
neighbor during the time of said child’s birth;
3. The birth of the said child was attended by DR. ALEXANDER BAYGAN a
resident of Butuan City, Agusan del Norte;
4. The birth certificate of the said child was not immediately registered
within thirty (30) days from the date of birth with the Office of City Civil
Registrar, Butuan City, mainly because of financial constraints and failure
of his parents or the person(s) delegated to do so, hence, this Joint
Affidavit;
5. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; and
6. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth 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 10th day of May
2018 at Butuan City, Philippines.
SUBSCRIBED AND SWORN to before me this 10th day of May 2018 at Butuan
City, Philippines. Affiants exhibited to me their competent evidence of identity to wit:
COMPETENT EVIDENCE OF
NAME
IDENTITY
1. We know the facts and circumstances surrounding the birth of the child
named SOFHIE VERANO FLORENTINO who was born out of wedlock on
18 May 2019 at Butuan Medical Center, Km. 5, Barangay Baan, Butuan
City, Agusan del Norte, to his mother RICLYN SABSALON VERANO and
father JERICHO CABATINGAN FLORENTINO.
2. The said mother and father being of our personal acquaintance and
neighbor during the time of said child’s birth;
3. The birth of the said child was attended by DR. MARILYN C. JUMAPAO
of Butuan Medical Center, Km. 5, Barangay Baan, Butuan, Agusan del
Norte;
4. The birth certificate of the said child was not immediately registered
within thirty (30) days from the date of birth with the Office of City Civil
Registrar, Butuan City, mainly because of financial constraints and failure
of his parents or the person(s) delegated to do so, hence, this Joint
Affidavit;
5. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; and
6. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth 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 28th day of June
2019 at Butuan City, Philippines.
SUBSCRIBED AND SWORN to before me this 28th day of June 2019 at Butuan
City, Philippines. Affiants exhibited to me their competent evidence of identity to wit:
COMPETENT EVIDENCE OF
NAME
IDENTITY
NELZI G. GOMEZ Driver’s License No. K01-18-011660
SOTICO E. FLORENTINO Driver’s License No. K01-15-000170
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City……………………….) SS.
x----------------------------x
1. We know the facts and circumstances surrounding the birth of the child
named PRINCE XAVIER LABADAN RETIQUEZ who was born out of
wedlock on 30 April 2017 at Barangay Manila de Bugabus, Butuan City,
Agusan del Norte, to his mother ARCILYN TALJA LABADAN and father
RAMEL QUINGCO RETIQUEZ.
2. The said mother and father being of our personal acquaintance and
neighbor during the time of said child’s birth;
4. The birth certificate of the said child was not immediately registered
within thirty (30) days from the date of birth with the Office of City Civil
Registrar, Butuan City, mainly because of financial constraints and failure
of his parents or the person(s) delegated to do so, hence, this Joint
Affidavit;
5. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; and
6. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth 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 28th day of June
2019 at Butuan City, Philippines.
SUBSCRIBED AND SWORN to before me this 28th day of June 2019 at Butuan
City, Philippines. Affiants exhibited to me their competent evidence of identity to wit:
COMPETENT EVIDENCE OF
NAME
IDENTITY
BERNADITH VENTURA GARCES PhilHealth No. 18-200596759-8
RECARDO LUMACANG GARCES PhilHealth No. 18-200520241-9
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City……………………….) SS.
x----------------------------x
1. We know the facts and circumstances surrounding the birth of the child
named SHANNARA SHANELLE LABADAN RETIQUEZ who was born out
of wedlock on 27 September 2018 at Barangay Manila de Bugabus,
Butuan City, Agusan del Norte, to his mother ARCILYN TALJA LABADAN
and father RAMEL QUINGCO RETIQUEZ.
2. The said mother and father being of our personal acquaintance and
neighbor during the time of said child’s birth;
3. The birth of the said child was attended by SUSAN V. GICALE, midwife
of Barangay Manila de Bugabus, Butuan, Agusan del Norte;
4. The birth certificate of the said child was not immediately registered
within thirty (30) days from the date of birth with the Office of City Civil
Registrar, Butuan City, mainly because of financial constraints and failure
of his parents or the person(s) delegated to do so, hence, this Joint
Affidavit;
5. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; and
6. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth 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 28th day of June
2019 at Butuan City, Philippines.
SUBSCRIBED AND SWORN to before me this 28th day of June 2019 at Butuan
City, Philippines. Affiants exhibited to me their competent evidence of identity to wit:
COMPETENT EVIDENCE OF
NAME
IDENTITY
BERNADITH VENTURA GARCES PhilHealth No. 18-200596759-8
RECARDO LUMACANG GARCES PhilHealth No. 18-200520241-9
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City……………………….) SS.
x----------------------------x
1. We know the facts and circumstances surrounding the birth of the child
named JANN XION DELOSO MALINAO who was born out of wedlock on
14 September 2017 at Provincial Hospital, Butuan City, Agusan del Norte,
to his mother FE ORDOÑA DELOSO and father JANN QUINNTY
MORDENO MALINAO.
3. The birth of the said child was attended by Dr. GINA R. BACOL, Medical
Specialist II of Provincial Hospital, Butuan City, Agusan del Norte;
4. The birth certificate of the said child was not immediately registered
within thirty (30) days from the date of birth with the Office of City Civil
Registrar, Butuan City, mainly because of financial constraints and failure
of his parents or the person(s) delegated to do so, hence, this Joint
Affidavit;
5. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar; and
6. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth 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 28th day of June
2019 at Butuan City, Philippines.
SUBSCRIBED AND SWORN to before me this 28th day of June 2019 at Butuan
City, Philippines. Affiants exhibited to me their competent evidence of identity to wit:
COMPETENT EVIDENCE OF
NAME
IDENTITY
FRANCIS B. SANCHEZ Driver’s License No. K01-18-010903
RECHELYN B. COMPOS Government ID No. 04180007
Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.