Republic of the Philippines)

City of Cebu
) S.S.
AFFIDAVIT OF GUARDIANSHIP
I, __________________, of legal age, Filipino, married, and a resident of
____________, Cebu City, Philippines, after having been duly sworn to in accordance
with law, hereby depose and say:
1. That I am the grandmother of ___________ who was born on ___________ to
____________ and ______________ at _____________;
2.

That ___________ is a student of ___________ as Grade ____;

3. That one of the requirements in support of her enrollment is the submission

of Certificate of Live Birth issued by the National Statistics Office (NSO);
4. That since birth until present, the parents of ____________ leave the care and
custody of their daughter to me, the father being my son;
5. That for almost ten (10) years, I have been the guardian of ____________;
6. That I am executing this Affidavit of Guardianship in support of the
application of Certificate of Live Birth of ___________________ and to declare
the truth of the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affix my signature this _______________
at Cebu City, Philippines.
_________________
Affiant
SUBSRIBED AND SWORN to before me this __ day of _____ 2016 in Cebu
City, Philippines, affiant exhibiting to me her competent evidence of identity by way
of _______________ issued at __________ on _________.
Doc No. : _____
Page No. : _____
Book No. : _____
Series of 2016