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Republic of the Philippines )

Butuan City……………………….) SS.


x----------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, VENITA CURAYAG MUSICO and MARIA CHONA AVENIDO AMORIN,


both of legal age, Filipinos, and both residents of Purok-5 Brgy. Tiniwisan, Butuan City,
Philippines, after having been duly sworn to in accordance with law, do hereby depose
and state that:

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.

VENITA CURAYAG MUSICO MARIA CHONA AVENIDO AMORIN


Affiant Affiant

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

VENITA CURAYAG MUSICO PhilHealth No. 18-200471902-7

MARIA CHONA AVENIDO AMORIN PhilHealth No. 18-200519786-5

all are personally known to the undersigned Notary Public.


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

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, NELZI G. GOMEZ and SOTICO E. FLORENTINO, both of legal age,


Filipinos, and both residents of Barangay Antongalon, Butuan City, Philippines, after
having been duly sworn to in accordance with law, do hereby depose and state that:

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.

NELZI G. GOMEZ SOTICO E. FLORENTINO


Affiant Affiant

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

all are personally known to the undersigned Notary Public.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City……………………….) SS.
x----------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, BERNADITH VENTURA GARCES and RECARDO LUMACANG GARCES,


both of legal age, Filipinos, and both residents of Purok 9, Barangay Manila de Bugabus,
Butuan City, Philippines, after having been duly sworn to in accordance with law, do
hereby depose and state that:

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;

3. The birth of the said child was attended by CRECENSIA P. TALJA,


manhihilot 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.

BERNADITH VENTURA GARCES RECARDO LUMACANG GARCES


Affiant Affiant

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

all are personally known to the undersigned Notary Public.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City……………………….) SS.
x----------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, BERNADITH VENTURA GARCES and RECARDO LUMACANG GARCES,


both of legal age, Filipinos, and both residents of Purok 9, Barangay Manila de Bugabus,
Butuan City, Philippines, after having been duly sworn to in accordance with law, do
hereby depose and state that:

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.

BERNADITH VENTURA GARCES RECARDO LUMACANG GARCES


Affiant Affiant

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

all are personally known to the undersigned Notary Public.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.
Republic of the Philippines )
Butuan City……………………….) SS.
x----------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, FRANCIS B. SANCHEZ and RECHELYN B. COMPOS, both of legal age,


Filipinos, and both residents of Barangay Bonbon, Butuan City, Philippines, after having
been duly sworn to in accordance with law, do hereby depose and state that:

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.

2. The said mother and father being of our personal acquaintance;

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.

FRANCIS B. SANCHEZ RECHELYN B. COMPOS


Affiant Affiant

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

all are personally known to the undersigned Notary Public.

Doc. №:________________;
Page №:________________;
Book №:________________;
Series of 2019.

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