Province of Quirino }

Municipality of Diffun }s.s.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, KRISTINE A. DELA CRUZ , of legal age, Filipino, married and presently
residing at Gundaway Cabarroguis, Quirino and HERBERT BRYAN R. VALENCIA, of
legal age, Filipino, marriedr and presently residing at Andres Bonifacio, Diffun, Quirino
both after being duly sworn to in accordance with law, depose and state that:

1. We personally know RHODETTE IVY V. ANCHETA of

Aurora East, Diffun, Quirino, being acquaintance for a long period of time;

2. We declare, confirm and affirm that she was born at Emmanuel Community
Hospital, Inc., located at 2449 Jose Abad Santos, Tondo, Manila , Philippines,
which is within the jurisdiction of Barangay 216, Zone 20, District II

3. That as per certification of Brgy Chairman, ALFREDO SAMSON OF Brgy 216

-Zone -20 DISTRICT II, that said hospital was well kown, however due to
circumstances unknown to the Barangay Officials, said hospital has already
closed, replaced by MMDA GWAPOTEL and is also an abandoned building up
to this time, which copy of said certification is hereto attached as Annex “A”;

4. However, she has been using Karuhatan Valenzuela, Metro Manila as her
Place of Birth because she was made to believe by her mother, that it is the
correct address of EMMANUEL COMMUNITY HOSPTAL, INC. as indicated
in her birth certificate, which is hereto attached as Annex “B”;

5. As such, she has been using Karuhatan Valenzuela, Metro Manila in all her
official documents, such as reflected in her Official Transcript of Records
(OTR), which is hereto attached as Annex “C”;

6. That as per records, the correct Place of Birth of RHODETTE IVY V. ANCHETA
IS in JOSE ABAD SANTOS, TONDO, MANILA;

7. We are not related by affinity or consanguinity to the above mentioned person;

and

8. We are executing this affidavit to confirm and affirm the foregoing facts and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, WE have hereunto set our hands this 10th of January at
Diffun, Qurino, Philippines

HERBERT BRYAN R. VALENCIA KRISTINE A. DELA CRUZ

Affiant Affiant
License NO: B12-11-000583 School ID NO: 2017-01-0401
Valid until: January 4, 2022 Valid until: S.Y. 2017-2018
 SUBSCRIBED AND SWORN to before me in the Municipality of Diffun this 10th
day of January, 2018 by affiants, who have satisfactorily proven to me their identity
through their identifying documents written below their name and signature, that they are
the same persons who personally signed before me the foregoing Joint Affidavit of Two
Disinterested Persons and acknowledged that they executed the same.

Atty. MA. KAREN A. BALDONADO-GUILLERMO

Notary Public
Until December 31, 2019
Doc. No. 18; PTR No. 3218465/ 01-03-2018
Page No. 05; Lifetime IBP No. 17396/05-20-2017
Book No. 01; ROLL No. 67812/05-26-2017
Series of 2018. MCLE Exemption
(MCLE Governing Board Order No. s-2008)
Diffun, Quirino