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City of ___________________ ) S.S.

JOINT AFFIDAVIT OF GUARDIANSHIP


We,___________________________, and ____________________________, of legal age,
(Guardian)
(Parent)
Filipino, ____________________, and residents of ___________________________________and
(Civil status of the Guardian)
(Guardian)
______________________________________________, Philippines respectively, after having
(Parent)
been duly sworn to in accordance with law, hereby depose and say:
1. That _____________________________ is ____________________________;
(Relationship to the Student)

(Name of Guardian)

If blood relation, state and explain relationship:


___________________________________________________________________________
___________________________________________________________________________
2. That the Guardian is known to the Parent for _____ years with reputation of
(No. of Years)
good character;
3. That ____________________ is a bonafide student of Philippine Science High
(Students full name)
School-Main Campus as Grade___ Section____________________;
4. That as a requirement of guardianship, the Guardian is obliged to fetch the
named student every Friday after class dismissal or a day before during long
weekend and holidays on time or as any emergency arises;
5. That the Guardian has the capacity to support as evidenced with the latest
ITR or any proof of income marked as Annex A, the named student during his
entire stay in his/her domicile and in times of sickness or incapacity;
6. That the Guardians age gap with the named student is more than 15 years
of age, (unless a direct family member);
7. That permission to exercise parental authority and obligations as regards with
the students health or immediate legal concerns as SUBSTITUTE PARENT is
hereby given by the parent/s;
8. That WE execute this Joint Affidavit of Guardianship in support of the
application to the Residence Hall of Philippine Science High School-Main
Campus and to declare the truth of the foregoing facts and for whatever
legal purpose it may serve.
IN WITNESS WHEREOF, We have hereunto affixed
_______________________ at ______________________, Philippines.
___________________________
Guardian

my

signature

this

_____________________________
Parent

SUBSCRIBED AND SWORN to before me this ____ day of ______ 2016 in ___________,
Philippines, affiants exhibiting to me their competent evidence of identity:
Guardian
Parent

ID

Issued at

Issued On

_____________ ________________

________________

________________

____________________

Doc. No. __________;


Page No. __________;
Book No. __________;
Series of 2016.

___________________

Notary Public

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