Republic of the Philippines )

City of San Carlos, Pangasinan) S.S.

AFFIDAVIT

I, JUBIENZO D. SOLIS, of legal age, single, Filipino and a resident of

Brgy. Payar, San Carlos City, Pangasinan, after having been sworn to in
accordance with law, do hereby depose and state that:

1. I am a Registered Nurse and employed at R.M Palisoc Medical Clinic

from July 15, 2018 to November 9, 2019;

2. I have been issued a Certificate of Employment issued by R.M. Palisoc

Medical Clinic dated November 10, 2019.

2. The above machine copy of the attached documents is a faithful

reproduction.

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of

November 2019 at San Carlos City, Pangasinan.

JUBIENZO D. SOLIS
Affiant
PRC ID No. 0664782
Valid Until March 16, 2022

SUBSCRIBED AND SWORN TO before me on the date and at the place

first above mentioned, affiant exhibiting to me her competent evidence of identity
already appearing below her name and signature.

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Republic of the Philippines )
City of San Carlos, Pangasinan) S.S.

AFFIDAVIT

I, RHODORA M. MONTEMAYOR, of legal age, married, Filipino

and a resident of #6 Gabon, Calasiao, Pangasinan, after having been
sworn to in accordance with law, do hereby depose and state that:

1. I have been issued a Passport bearing passport No. P1246989A

issued by Department of Foreign Affair, Calasiao, Pangasinan;

2. The machine copy of the attached documents is a faithful

reproduction.

3. I am executing this affidavit to attest to the truth of the foregoing

and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 2nd

day of February 2018 at San Carlos City, Pangasinan.

ALFREDO BULATAO BAUTISTA

Affiant
Passport No. P1246989A
Valid Until Dec. 15, 2021

SUBSCRIBED AND SWORN TO before me on the date and at the

place first above mentioned, affiant exhibiting to me his competent
evidence of identity already appearing below his name and signature.

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Republic of the Philippines)

San Carlos City, Pangasinan) s.s.

AFFIDAVIT

I, JOSEPH AMADITO A. SAMSON, of legal age, Filipino and a resident of

Rizal Avenue, San Carlos City, Pangasinan, after having been duly sworn to in
accordance with law do hereby depose and state that:

1. I am a notary public for and within the jurisdiction of San Carlos City,
Pangasinan, First Judicial Region until December 31, 2014.;

2. Sometime on December 22, 2014, I notarized the machine and/or photocopies

of the following documents:

a) Passport bearing Passport No. EC1125997 in the name of Randz Crypton

Hammond;
b) Passport bearing Passport No. EC2730528 in the name of Maudie Lim-
Hammond;
c) Passport bearing Passport No. EC1325328 in the name of Randy M.
Hammond;
d) International English Language Testing System bearing Candidate No. 014321;
e) Educational Credential Assessment for Citizenship and Immigration Canada
bearing ECA No. 26653431MM (2 pages);
f) Official Transcript of Record issued by Virgen Milagrosa University
Foundation, San Carlos City, Pangasinan;
g) Official Transcript of Record issued by Virgen Milagros University
Foundation, San Carlos City, Pangasinan; (3 pages)
h) Official Transcript of Records issued by the Colegio de Dagupan, Dagupan
City, Pangasinan; (2 pages)
i) Diploma issued by Colegio de Dagupan, Dagupan City;
j) Diploma issued by Virgen Milagrosa University, San Carlos City, Pangasinan;
k) Diploma issued by Virgen Milagrosa University, San Carlos City, Pangasinan;
l) Certification issued by Palaris Colleges, San Carlos City, Pangasinan;
m) Certification issued by Palaris Colleges, San Carlos City, Pangasinan;
n) Certification issued by Palaris Colleges, San Carlos City, Pangasinan;
o) Certification issued by Region 1 Medical Center, Dagupan City;
p) Certification issued by Region 1 Medical Center, Dagupan City;
q) Professional Identification Card No. 0580956 issued by Professional
Regulation Commission;
 r) Philippine Police Identification Card of PO1 Randy Maicle Hammond;
s) Employment Contract issued by Palaris Colleges, San Carlos City, Pangasinan;
t) Pay slip from June 2012 to December 2012 issued by Palaris Colleges, San
Carlos City, Pangasinan;
u) Pay slip from January 2013 to December 2013 issued by Palaris Colleges, San
Carlos City, Pangasinan;
v) Pay slip issued by PIMSAT Colleges, Dagupan City; (3 pages)
w) NBI Clearance bearing No. 21647569 issued to Maudie Lim-Hammond issued
by National Bureau of Investigation;
x) NBI Clearance bearing No. 21647569 issued to Randy Maicle Hammond issued
by National Bureau of Investigation;
y) Police Clearance bearing No. 0008864 issued to Randy Maicle Hammond and
issued by PNP San Carlos City Police Station, San Carlos City, Pangasinan;
z) Police Clearance bearing No. 0008864 issued to Maudie Lim-Hammond and
issued by PNP San Carlos City Police Station, San Carlos City, Pangasinan;
aa) Certificate of Live Birth of Randz Crypton Lim Hammond issued by National
Statistic Office;
bb) Certificate of Live Birth of Maudie Padua Lim issued by National Statistic
Office;
cc) Certificate of Live Birth of Randy Maicle Hammond issued by National
Statistic Office;
dd) Certificate of Marriage of Randy Maicle Hammond and Maudie Padua Lim
issued by National Statistic Office;
ee) Certificate of Finality issued by the City Civil Registrar, Lourdes M. Garcia of
Local Civil Registrar, San Carlos City, Pangasinan;
ff) Petition for Correction of Clerical error in the Certificate of Marriage of
Maudie Lim Hammond filed before the Local Civil Registry Office, San Carlos
City, Pangasinan;
gg) Action Taken by CRG issued by Philippine Statistic Authority;

3. I was personally shown the original copies of the abovementioned documents,

and I know for a fact that the said machine and/or photocopies are faithful
reproductions of the original;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purposes it may serve.

IN WITNESS WHEREOF, I hereto set my hand this 22nd day of December 2014 in
San Carlos City, Pangasinan.

JOSEPH AMADITO A. SAMSON

Affiant
Roll No. 54573, May 4, 2007

SUBSCRIBED AND SWORN TO before me on the date and at the place first
above mentioned, affiant exhibiting to me his competent evidence of identity already
appearing below his name and signature.

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