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REPUBLIC OF THE PHILIPPINES )

: S.S.
CITY OF MANILA, METRO MANILA)

AFFIDAVIT
OF BIRTH

I, MELODINA ARCIAGA y JOSER, of legal age, married, and a


resident of Santa Maria Drive Bagong Bayan Taguig City, after having
been duly sworn to in accordance with law, hereby depose and state
that:

1. I am the legitimate child of CONCHITA A. ARINO and


VIRGILIO JOSER born on April 6, 1969 at Saint Bernard ,
Southern Leyte;

2. My maiden name was MELODINA A. JOSER.

3. When I was about to secure a copy of my Birth


Certificate at NSO Quezon City, I discovered that I was not
registered at all.

4. When I asked my siblings why my birth certificate was


not registered, I found out that I was not born at a hospital
and was born only through mang-hihilot. And the mang-
hihilot at our barrio was not able to register my date of birth
at NSO.

5. This is the reason why I was not registered at the NSO.

6. I am executing the foregoing Affidavit to attest to the


truthfulness of the foregoing facts and for whatever legal
purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my
signature this 27th day of FEBRUARY 2013 in City of Manila,
Metro Manila.

____________
_______
ARTEMIA OGARDO
NASU
Affiant

SUBSCRIBED AND SWORN to before me this 27 th day


of February 2013 in City of Manila, affiant exhibiting to me
her Japan Residence ID with No. RC-42734854EA.

Doc. No. ____ ;


Page No. ____ ;
Book No. XIV;
Series of 2013
NORIE ANN C.
NAKAMURA Affiant

SUBSCRIBED AND SWORN to before me this 5 th day of


NOVEMBER 2012 in City of Manila, Metro Manila affiant
exhibiting to me her _____________________.

Doc. No. 413 ;


Page No. 84 ;
Book No. 13 ;
Series of 2012.
REPUBLIC OF THE PHILIPPINES )
LAS PIAS CITY, METRO MANILA) SS

I, EVELYN SANCHEZ FLINK, Filipina, of legal age, widow, a


resident of Block 5 Lot 11, Villa Pangarap, Moonwalk, Talon V, Las Pinas
City, Philippines, after having been duly sworn to in accordance with law
depose and say that:

1. I was legally married to MATTI JUHANI FLINK, a Finish


national, on April 15 1980 at Ermita, Manila, Philippines
and solemnized by Reverend Father Marcelo T. Ronas. A
copy of my Marriage Contract is herein attached as annex
A;

2. Said marriage was valid and existing and was terminated


only upon the death of Matti Juhani Flink on December 13,
1986 in Denmark;

3. I am executing this instrument to attest to the truth and


veracity of the foregoing and to claim death/disability
benefits of Matti Juhani Flink as legal wife.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


____ day of December, 2003 in Las Pias City, Metro Manila.

EVELYN SANCHEZ FLINK


Affiant

SUBSCRIBED AND SWORN to before me this __th day of


December, 2003 in Las Pias City, Metro Manila.

NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2003.
REPUBLIC OF THE PHILIPPINES)
:S.S.
CITY OF LAS PIAS )

AFFIDAVIT

I, TERESITA L. ENRIQUEZ, of legal age, widow, and a resident of


950 Domingo Santiago St., Sampaloc, Manila, after being duly sworn to
in accordance with law, do hereby depose and state, that:

1. I am the auntie of ARNALYN B. GUMELEN, and I am also her


guardian being her companion here in Manila, as her parents
are living in the province of Santiago, Agusan del Norte;

2. Being the guardian of ARNALYN B. GUMELEN, I am


authorized to give parental advice/consent in behalf of
her parents relative to her application for marriage
license;

3. I am giving my advice/consent to my nieces scheduled


weeding;

4. I am executing this Affidavit to attest the truth of the


foregoing and to give my advice/consent to the issuance
of marriage license of my niece ARNALYN B. GUMELEN.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


th
12 day of April, 2004 in Las Pias City, Metro-Manila.

TERESITA L. ENRIQUEZ
Affiant

SUBSCRIBED AND SWORN to before me this 12th day of April,


2004 in the City of Las Pias, Metro-Manila, affiant exhibiting her
Community Tax Certificate No.24087724, issued on April 4, 2004 at Las
Pias City.

ATTY. VICTOR S. DACANAY


Notary Public
Until December 31, 2004
PTR No. 8790894/02-03-04/Las Pias
IBP No. 591232/01-28-04
PPLM Chapter
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2004.
REPUBLIC OF THE PHILIPPINES )
:S.S.
LAS PIAS CITY, METRO-MANILA)

AFFIDAVIT OF SINGLENESS

I, MERLITA SEGUA SANGACENA, of legal age, Filipino, single and


with residence and postal address at Blk. 23, Lot 4 Papaya St. Golden
Acres, Talon I, Las Pias City, Metro-Manila, after having been duly
sworn to in accordance with law, hereby depose and state:

1. That I am the same MERLITA SEGUA SANGACENA, having been


born on March 28, 1974 in Iloilo City whose parents are Rodrigo and
Nelida Sangacena;

2. That I hereby declare under oath that I have not contracted


marriage to any male individual or person in any place or catholic
churches;

4. Moreover, I hereby allege under the pain of perjury and


falsification of public document that I do not have any records of
marriage with any civil registrars office anywhere in the Philippines and
no such person, i.e., reverends, mayors, or any other person authorized
by law to administer marriage has performed or solemnized marriage
unto me;

5. That I am not the same MERLY SANGCENA


BUENAVISTA who is married and residing at Block 7, Lot 4, Villa
Pangarap, Moonwalk, Las Pias City and born on March 24, 1974 as
alleged in the Voters Registration Record;

6. That I am executing this affidavit to attest to the truth of all the


foregoing and to inform the authorities concerned regarding the
singleness of herein affiant. Further, this Affidavit is being executed for
whatever legal intents or purposes it may serve best;

7. FURTHER AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


__th day of August, 2007 in Las Pias City, Metro-Manila.

MERLITA SEGUA SANGACENA


Affiant

SUBSCRIBED AND SWORN to before me this ___th day of August,


2007 in Las Pias City, Metro-Manila, affiant exhibiting to me her Com.
Tax Cert. No. 04348291 issued in Las Pias City on July 16, 2007.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2007.
REPUBLIC OF THE PHILIPPINES )
:S.S.
LAS PIAS CITY, METRO-MANILA)

AFFIDAVIT OF CONSENT

I, MARVIC A. DELA PEA, 22 years old, Filipino, jobless and residing at No.
74 Santan Ext., Vergonville Subd., Pulang Lupa, Las Pias City, after having been duly
sworn to in accordance with law, hereby depose and say:

1. That I am a single mother with a daughter registered under the name


Rohjemma Kathryn D.P. Lanuza born on March 29, 2005;

2. My minor daughter, Rohjemma Kathryn D.P. Lanuza, is in the custody of


grandparents, Emma V. Lanuza and Romulo Lanuza with the same address
above-mentioned;

3. That I give my written cnsent for my minor daughter Rohjemma Kathryn


D.P. Lanuza to travel to Dubao (UAE) with my mother-in-law, Emma V.
Lanuza;.

4. That I endorsed the custody of my minor daughter to my father and mother-


in-laws which include care, health and sustenance as guardian;

5. The contents of this Affidavit are true to the best of my knowledge.

AFFIANTS SAYETH NAUGHT.

MARVIC A. DELA PEA


Affiant

SUBSCRIBED AND SWORN to before me this ___th day of April, 2007 in Las
Pias City, Metro-Manila, affiant exhibiting to me her respective Community Tax
Certificate Number 01077 issued on ______________ in Las Pias City.
REPUBLIC OF THE PHILIPPINES )
:S.S.
LAS PIAS CITY, METRO MANILA)

AFFIDAVIT OF SUPPORT

I, FLORENTINO OCAMPO y BRIGINO, 51 years old, Filipino


citizen married to ASUNCION PALMOS-OCAMPO and resident of Main
Street cor. Ford Avenue, Greenview Subdivision, Pamplona, Las Pias
City, Metro-Manila 1704 Philippines, after having been duly sworn to in
accordance with law, hereby depose and state;

1. That I am the lawful husband of ASUNCION PALMOS-


OCAMPO and the biological father of (1) RAQUEL P.
OCAMPO and (2) FRANCIS EDSEL P. OCAMPO;

2. That I, my wife, and my children are contemplating to


leave the country as soon as all the requirements for
travel have been met as a tourist to the United States of
America;

3. That, as a husband to my wife and a father to my


children desiring to provide them travel exposure, I am
giving them support to travel abroad at my financial
expense and burden incurred in the projected trip;

4. That, I hereby undertake to fully finance and shoulder all


the expenses, e.g. transportation, hotel accommodation,
and other expenses that my wife and my children may
incur in connection with our forthcoming trip;

5. That this Affidavit have been executed to show my


financial support to my wife, ASUNCION PALMOS-
OCAMPO and to my children, RAQUEL and FRANCIS
EDSEL both surnamed OCAMPO to travel abroad and
that I am capable of assuring for the financial expenses
incurred thereof.

FURTHER AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


1st day of February, 2005 in the City of Las Pias, Metro Manila,
Philippines.

FLORENTINO B. OCAMPO
Affiant

SUBSCRIBED AND SWORN to before me on this __th day of


February, 2005 in the City of Las Pias, Metro Manila, Philippines,
affiant exhibiting to me his Com. Tax Cert. No. __________, issued at
____________, on __________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2004.
REPUBLIC OF THE PHILIPPINES)
:S.S.
DASMARIAS, CAVITE )

JOINT AFFIDAVIT

WE, Spouses GUALTERIO P. GERVACIO and VIRGINIA DIMALANTA


GERVACIO, after being duly sworn to in accordance with law, depose and state that:

1. That I, GUALTERIO P. GERVACIO is the father of GAY D. GERVACIO, the


petitioner in Special Proceeding No. 04-0063 for the correction of said Gay D. Gervacios
Birth Certificate;

2. That I, Virginia D. Gervacio is the mother of Gay D. Gervacio;

3. That in the Birth Certificate of our daughter Gay D. Gervacio, my name


GUALTERIO was erroneously written as GUALTERO instead of GUALTERIO;

4. That in the Birth Certificate of our daughter Gay D. Gervacio, my name


VIRGINIA was erroneously written as VERGENIA instead of VIRGINIA;

5. That I, GUALTERIO GERVACIO attest that GUALTERIO and GUALTERO


are one and the same person and that the correct name is GUALTERIO and not
GUALTERO;

6. That I, VIRGINIA D. GERVACIO likewise attest that VIRGINIA and


VERGENIA are one and the same person and that the correct name is VIRGINIA and not
VERGENIA;

7. That our correct names are entered in our Marriage Contract which we signed
on the 9th day of July 1976;

8. That we also attest that our marriage was solemnized in Quezon City and not
in Lopez, Quezon on July 9, 1976;

9. That we agree/consent to the correction of our names as hereinabove stated and


our place of marriage which should be in Quezon City and not in Lopez, Quezon in the
Birth Certificate of our daughter Gay Gervacio.

Further, affiants sayeth none.

Dasmarias, Cavite, December 11, 2004.

GUALTERIO P. GERVACIO VIRGINIA D. GERVACIO


Affiant Affiant

SUBSCRIBED AND SWORN to before me this __th day of December, 2004 in


Dasmarias, Cavite.
REPUBLIC OF THE PHILIPPINES )
:S.S.
LAS PIAS CITY, METRO-MANILA)

JOINT AFFIDAVIT

We, RAUL RICO and ERLINDA BASAY, both of legal age, single,
Filipinos and are residing at Unit IV, Bldg. 10 Canada Avenue, Phase III,
Southland, Talon I, Las Pias City, after having been duly sworn to in
accordance with law, hereby depose and say:

1. That we have attained the age of maturity.

2. That both of us are living together as husband and wife without


the benefit of marriage at the above-cited address since 1990 up
to the present time or for more than five (5) years. With this
development, we would like to avail of the benefits of Article 34
of the Family Code regarding exemption from securing a
marriage license.

3. That there is no legal impediment for us to marry each other;

4. That this affidavit is being executed to attest to the truth of the


foregoing facts;

FURTHER AFFIANT SAYETH NAUGHT.

RAUL RICO ERLINDA BASAY


CTC No. 06022714 CTC No. 06012824
Issued on December 17, 2004 Issued on December 9, 2004
Issued at Las Pias City Issued at Las Pias City

SUBSCRIBED AND SWORN to before me this __th day of January,


2005 in Las Pias City, affiants exhibiting to me their respective
Community Tax Certificates written below their names.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2005.
REPUBLIC OF THE PHILIPPINES )
: S.S.
LAS PIAS CITY, METRO MANILA)

AFFI DAV I T

I, VISITACION GAYGAY, Filipina, of legal age, widow, a resident of 19 Atis


Ext., Admiral Subdivision, Talon III, Las Pias City, after having been duly sworn to in
accordance with law depose and say that:

1. I and Perfecto D. Sanchez lived as husband and wife since September


27, 1987 until his (Perfecto) death;

2. Out of said common-law relationship, we begot three (3) children


namely: Marlon Sanchez 17 years old; Marlene Sanchez 15 years
old and Maricris Sanchez 9 years old;

3. I am executing this Affidavit to attest to the truth and veracity of the


foregoing.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of


April, 2006 in Las Pias City, Metro Manila.

VISITACION GAYGAY
Affiant

Witnesses:

ROSA OGEA

BEATRIZ ONGSOD

SUBSCRIBED AND SWORN to before me this __th day of April, 2006 in Las
Pias City, Metro Manila.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2006.

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